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Published on: April 24, 2017

Multivessel spontaneous coronary artery dissection treated with staged percutanous coronary intervention in a

Andrew H Lin1, Brennan J Shutt, Robert T Dendall

  • 1Department of Cardiology, Naval Medical Center San Diego, San Diego, CA, USA. alin_1974@yahoo.com

BMJ Case Reports
|December 11, 2012
PubMed

Insights

This case study highlights spontaneous multivessel coronary artery dissection, a rare condition. Successful treatment with percutaneous coronary intervention using everolimus-eluting stents demonstrates effective management for this critical cardiovascular event.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Coronary artery dissection is a rare cause of myocardial infarction.
  • Spontaneous coronary artery dissection (SCAD) can affect multiple vessels.

Observation:

  • A 43-year-old woman presented with non-ST elevation myocardial infarction.
  • Initial catheterization revealed left anterior descending artery dissection and right coronary artery chronic total occlusion.
  • Persistent chest pain led to repeat catheterization, revealing right coronary artery dissection.

Findings:

  • Successful stenting of the left anterior descending artery dissection with everolimus-eluting stents.
  • Successful stenting of the right coronary artery dissection with everolimus-eluting stents.
  • Excellent clinical and angiographic outcomes were achieved for both coronary dissections.

Implications:

  • Spontaneous multivessel coronary artery dissection is a critical diagnosis to consider in acute coronary syndromes.
  • Percutaneous coronary intervention is a viable and effective treatment strategy for spontaneous multivessel coronary artery dissection.
  • Everolimus-eluting stents provide favorable outcomes in managing complex coronary dissections.

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