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J Cardiovasc Med (Hagerstown). 2009 Apr;10(4):340-3. doi: 10.2459/JCM.0b013e3283276dee.

Multivessel spontaneous coronary artery dissection in a postpartum woman treated with multiple drug-eluting stents.

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1
Division of Cardiology, 'Cannizzaro' Hospital, Italy. azzarelli.s@tiscali.it

Abstract

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.

PMID:
19430346
DOI:
10.2459/JCM.0b013e3283276dee
[Indexed for MEDLINE]
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