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Coronary stenting after failure of conservative treatment for spontaneous coronary dissection: Usefulness of the intravascular ultrasound
Author(s) -
Marti Vicens,
GarciaPicart Joan,
Balcells Jordi
Publication year - 2011
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20796
Subject(s) - medicine , intravascular ultrasound , angina , asymptomatic , cardiology , acute coronary syndrome , dissection (medical) , artery , ultrasound , artery dissection , radiology , surgery , coronary angiography , myocardial infarction
Spontaneous coronary dissection of a coronary artery is a rare cause of acute coronary syndrome. Optimal treatment has not yet been established. We describe a woman with spontaneous dissection of the left anterior descending artery who presented transitory angina and electrocardiographic ST segment elevation in precordial leads. Conservative treatment was carried out. The angina and electrocardiographic changes recurred 3 days later. An intravascular vascular ultrasound was performed and the patient was stabilized following stenting. Stress testing was negative at 6‐month follow‐up and she remained asymptomatic at 18 months. We discuss the usefulness of an intravascular ultrasound study to establish the therapeutic strategy. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011