| Literature DB >> 27142197 |
Tsuyoshi Ito1, Yasuhiro Shintani2, Taku Ichihashi2, Hiroshi Fujita2, Nobuyuki Ohte2.
Abstract
A 46-year-old woman was referred to our hospital due to chest pain. Twelve-lead electrocardiogram revealed ST-segment elevation suggesting acute myocardial infarction. Emergent coronary angiography showed diffuse narrowing and occlusion in the middle to distal left anterior descending artery (LAD). To investigate the cause of occlusion, an intravascular ultrasound (IVUS) examination was performed and we diagnosed spontaneous coronary artery dissection (SCAD) as the cause of occlusion. After a cutting balloon was dilated at the distal LAD, coronary flow recovered. IVUS-guided angioplasty with cutting balloon could be a choice of treatment in SCAD patients who need revascularization.Entities:
Keywords: Cutting balloon angioplasty; Intravascular ultrasound; Spontaneous coronary artery dissection
Mesh:
Year: 2016 PMID: 27142197 DOI: 10.1007/s12928-016-0397-x
Source DB: PubMed Journal: Cardiovasc Interv Ther ISSN: 1868-4297