Key result
Conservative medical management permits spontaneous healing and restored patency after angioplasty-induced occlusive coronary dissection.
Why the study?
Spontaneous healing of occlusive coronary dissection after percutaneous transluminal coronary angioplasty is not well documented.
Key points are not available for this paper at this time.
Design
Case report
Follow-up
Medical follow-up period
Answers are grounded in this paper and cite their sources.
May support watchful waiting in stable post-PCI dissection; leaves open predictors of spontaneous healing.
A large pseudolumen due to dissection arose during percutaneous coronary angioplasty. The true lumen was compressed critically. However, no infarction took place because of good collaterals. During medical follow-up, the patient's angina vanished suddenly. The repeat angiography showed healing of the dissection and patency of the coronary artery.
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Takatsu et al. (1989) studied this question. An occlusive coronary dissection caused by percutaneous coronary angioplasty spontaneously healed with restored arterial patency and resolution of angina during medical follow-up.
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