Intravascular Ultrasound–documented Healing Of Spontaneous Coronary Artery Dissection
Porighto, I., Aurigemma, C., Pennestrì, F., & Rebuzzi, A. G. (2010). Intravascular ultrasound-documented healing of spontaneous coronary artery dissection. Circulation. Cardiovascular interventions, 3(5), 519–522. https://doi.org/10.1161/CIRCINTERVENTIONS.110.938068
View Original Source →Case Details
Disease Location
Coronary artery
Personal Characteristics
46 years old woman without history of cardiovascular disease and no coronary risk factor
Clinical Characteristics
3 hours of rest crushing chest pain. 50% smooth stenosis in the proximal left anterior descending coronary. Intramural hematoma starting from the mid-lad up to its ostium. Mild lumen compromise and presence of nonobstructive atheroma. Spontaneous coronary dissection.
Remission Characteristics
After 3 months of medical therapy, patient showed an almost complete disappearance of intramural hematoma.
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Intracoronary ergonovine (32 ug). Aspirin, clopidrogel, nitrates and b-blockers.