CORONARY STENTING AFTER FAILURE OF CONSERVATIVE TREATMENT FOR SPONTANEOUS CORONARY DISSECTION. USEFULNESS OF THE INTRAVASCULAR ULTRASOUND

Vicens Marti (1) , Joan Garcia-Picart (2) , Jordi Balcells (2)

1 Cardiology and Cardiac Surgery
2 Cardiology and Cardiac Surgery

Spontaneous coronary dissection of a coronary artery is a rare cause of acute coronary syndrome. Optimal treatment has not yet been established. We describe a woman with spontaneous dissection of the left anterior descending artery who presented transitory angina and electrocardiographic ST segment elevation in precordial leads. Conservative treatment was carried out. The angina and electrocardiographic changes recurred three days later. An intravascular vascular untrasound was performed and the patient was stabilized following stenting. Stress testing was negative at six-month follow up and she remained asymptomatic at 18 months. We discuss the usefulness of an intravascular ultrasound study to establish the therapeutic strategy.

Mots clés: Medicine

Vicens Marti, Joan Garcia-Picart, Jordi Balcells. CORONARY STENTING AFTER FAILURE OF CONSERVATIVE TREATMENT FOR SPONTANEOUS CORONARY DISSECTION. USEFULNESS OF THE INTRAVASCULAR ULTRASOUND. Journal of Clinical Ultrasound, 2011, ⟨10.1002/jcu.20796⟩. ⟨hal-00614640⟩