Key result
Primary coronary angioplasty with multiple stent implantation successfully treated a total dissection of the left anterior descending coronary artery in a young woman with anterior STEMI.
Case Report (n=1)
Primary coronary angioplasty with stenting can be a successful strategy for treating acute myocardial infarction caused by spontaneous coronary artery dissection.
We report the case of a young woman referred to our hospital for anterior ST-elevation myocardial infarction to be treated with primary coronary angioplasty. Angiography showed total dissection of the left anterior descending coronary artery, which was successfully treated with primary coronary angioplasty and multiple coronary stent implantation. Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome, which occurs more frequently in women with many pregnancies (our patient had eight sons before hospital admission for acute myocardial infarction). Although technically challenging, primary coronary angioplasty is a good strategy for treating coronary artery dissection.
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Guiducci et al. (2007) conducted a case report in Acute myocardial infarction due to spontaneous coronary artery dissection (n=1). Primary coronary angioplasty and multiple coronary stent implantation was evaluated on Successful treatment of total dissection of the left anterior descending coronary artery. Primary coronary angioplasty with multiple stent implantation successfully treated a total dissection of the left anterior descending coronary artery in a young woman with anterior STEMI.
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