Successful treatment in a case of acute myocardial infarction due to spontaneous coronary artery dissection

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• 作者：Yoshikazu Ohara ; MD ; ^{yosikazu_ohara@khsc.or.jp} ; Mana Kusunose ; MD ; Yutaka Take ; MD ; Shinji Sahara ; MD ; Kimikazu Banba ; MD ; Mika Nishimoto ; MD ; Katsuhito Yamamoto ; MD
• 关键词：Myocardial infarction ; Treatment ; Angioplasty ; Intravascular ultrasound/Doppler
• 刊名：Journal of Cardiology Cases
• 出版年：2010
• 出版时间：April 2010
• 年：2010
• 卷：1
• 期：2
• 页码：e102-e105
• 全文大小：720 K

文摘

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Summary

Spontaneous coronary dissection is a rare cause of myocardial ischemia, myocardial infarction, and sudden death. In the present case, we performed stenting only of the severe stenotic lesion of the dissection with a short bare metal stent, and left the remaining long length of dissection vessel untreated. Six months after coronary stenting, follow-up angiography revealed complete healing of the coronary dissection and no significant in-stent restenosis. This case clearly demonstrates the usefulness of intravascular ultrasound (IVUS) imaging in the diagnosis of coronary dissection and IVUS imaging guides to the choice of the best stenting.