Document Detail


Multivessel spontaneous coronary artery dissection in a postpartum woman treated with multiple drug-eluting stents.
MedLine Citation:
PMID:  19430346     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multivessel spontaneous coronary artery dissection is a very rare cause of myocardial ischemia. Its optimal treatment is not yet well defined and is usually tailored to clinical features. We report a case of a postpartum woman with multivessel spontaneous coronary artery dissection and acute myocardial infarction, in whom the drug-eluting stenting of the only alleged 'culprit' vessel did not prevent the propagation of dissection from another vessel. Although the recommendations drawn from a single case report are not conclusive, we believe that when there is a multivessel spontaneous coronary artery dissection in a setting of acute myocardial infarction, all dissected coronary segments should be treated using stents.
Authors:
Salvatore Azzarelli; Damiana Fiscella; Francesco Amico; Michele Giacoppo; Vincenzo Argentino; Antonio Fiscella
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  10     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  340-3     Citation Subset:  IM    
Affiliation:
Division of Cardiology, 'Cannizzaro' Hospital, Italy. azzarelli.s@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Dissecting / complications,  radiography,  therapy*
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Aneurysm / complications,  radiography,  therapy*
Coronary Angiography
Drug-Eluting Stents*
Electric Countershock
Electrocardiography
Female
Humans
Myocardial Infarction / etiology,  radiography,  therapy*
Postpartum Period*
Shock, Cardiogenic / etiology,  therapy
Treatment Outcome
Ventricular Fibrillation / etiology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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