Key result
Primary percutaneous coronary intervention with drug-eluting stents successfully treated a 32-year-old woman presenting with anterior ST elevation myocardial infarction due to spontaneous extensive left coronary artery dissection.
Case Report (n=1)
No
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Primary PCI with stenting can be an effective treatment strategy for single-vessel spontaneous coronary artery dissection presenting as STEMI.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary events or sudden cardiac death. It most commonly occurs in young women in the peri-partum period. The etiology remains uncertain. Possible mechanisms are hormonal changes, hemodynamic stress and modifications in the immune system during pregnancy. Treatment strategies include medical management, percutaneous coronary intervention (PCI) and surgical revascularization. We describe the case of a young woman presenting with spontaneous coronary artery dissection of the left anterior descending coronary artery, which was successfully treated with PCI. Spontaneous coronary artery dissection is a rare but important cause of myocardial ischaemia and infarction in young, healthy women, without classical coronary risk factors. Immediate coronary angiography is essential to establish an early diagnosis and allowing a therapeutic decision.
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Şeker et al. (2016) conducted a case report in ST Segment Elevation Myocardial Infarction due to Spontaneous Extensive Left Coronary Artery Dissection (n=1). Percutaneous coronary intervention (PCI) with drug-eluting stents was evaluated on Resolution of symptoms and ischemia. Primary percutaneous coronary intervention with drug-eluting stents successfully treated a 32-year-old woman presenting with anterior ST elevation myocardial infarction due to spontaneous extensive left coronary artery dissection.
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