Conservative Treatment of Spontaneous Dissection of Multiple Coronary Arteries

Hunt, B. D.; Chua, R.; Bett, Nicholas

doi:10.1016/j.hlc.2010.07.008

Cited by 2 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management strategies include medical management with anticoagulants, β-blockers and dual antiplatelet therapy18; percutaneous intervention (PCI); and emergent coronary artery bypass surgery. There have been no studies comparing treatment options for multivessel SCAD; therefore, it is difficult to make clear recommendations on treatment.…”

Section: Discussionmentioning

confidence: 99%

Multivessel spontaneous coronary artery dissection treated with staged percutanous coronary intervention in a non-postpartum female

et al. 2012

View full text Add to dashboard Cite

We present a case of a 43-year-old woman who presented with a non-ST elevation myocardial infarction. During her first cardiac catheterisation, she was diagnosed with a chronic total occlusion of the right coronary artery and a flow limiting dissection of her middle left anterior descending artery. The dissection of the left anterior descending artery was stented with two overlapping everolimus-eluting stents. There were no complications from this percutaneous coronary intervention. On the following day, the patient continued to have persistent chest pain and returned to the catheterisation laboratory. It was then found that the patient had a total occlusion of the right coronary artery secondary to dissection. This was also stented with three everolimus-eluting stents with excellent clinical and angiographic results. It is important to consider spontaneous multivessel coronary dissections which can be treated successfully with percutaneous coronary intervention.

show abstract

Section: Discussionmentioning

confidence: 99%