Graidis Christos, Dimitriadis Dimokritos, Karasavvidis Vasileios, Dimitriadis Georgios, Argyropoulou Efstathia, Economou Fotios, Spiromitros George, Antoniou Antonios, Karakostas Georgios
Department of Interventional Cardiology, Kyanous Stavros Hospital, Vizyis-Vyzantos 1 Street, Thessaloniki 54636, Greece.
BMC Cardiovasc Disord. 2014 Dec 17;14:191. doi: 10.1186/1471-2261-14-191.
Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI).
We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary intervention (PCI) facilities. She was transferred to our hospital and coronary angiography revealed a spontaneous dissection of the left main stem coronary artery (LM). The dissection was successfully managed with PCI.
PCI appears to be a potential option, for the treatment of selected cases with spontaneous LM dissection, presenting with an acute coronary syndrome.
自发性冠状动脉夹层是缺血性心脏病和猝死的罕见病因。及时诊断至关重要，尤其是在其表现为ST段抬高型心肌梗死（STEMI）的情况下。
我们报告一例42岁女性病例，该患者在一家没有现场经皮冠状动脉介入治疗（PCI）设备的医院出现前壁STEMI。她被转至我院，冠状动脉造影显示左主干冠状动脉（LM）自发性夹层。通过PCI成功处理了该夹层。
对于表现为急性冠状动脉综合征的自发性LM夹层的特定病例，PCI似乎是一种潜在的治疗选择。
