Non-atherosclerotic spontaneous coronary artery dissection revascularized by intravascular ultrasonography-guided fenestration with cutting balloon angioplasty

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)....

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Bibliographic Details
Published in:Cardiovascular intervention and therapeutics 2017-07, Vol.32 (3), p.241-243
Main Authors: Ito, Tsuyoshi, Shintani, Yasuhiro, Ichihashi, Taku, Fujita, Hiroshi, Ohte, Nobuyuki
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - methods
Cardiology
Case Report
Computed Tomography Angiography
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - therapy
Female
Humans
Interventional Radiology
Medicine
Medicine & Public Health
Middle Aged
Ultrasonography, Interventional - methods
Vascular Diseases - congenital
Vascular Diseases - diagnostic imaging
Vascular Diseases - therapy
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Summary: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.
ISSN:1868-4300
1868-4297
DOI:10.1007/s12928-016-0397-x