ISSN: 2161-1025
+44 1223 790975
Dr, Department of Cardiology Clinic, Agaplesion General Hospital, Hagen, Germany
Case Report
Early Recurrent Spontaneous Coronary Artery Dissection: A Case-Report
Author(s): Marek M Rogowski*
This paper illustrates a rare case of recurrent spontaneous coronary artery dissection (type 2a according to Yip-Saw)
occurred in a 35-year-old non-pregnant woman. The invasive assessment revealed a long dissection of the mid Left
Anterior Descending Artery (LAD), which could be confirmed by intravascular ultrasound and was treated
successfully with two drug eluting stents. Thirty hours later, the patient developed a second event with severe
symptoms and new Electrocardiogram (ECG) ischemic changes. The second angiography showed a new spontaneous
dissection of the mid Circumflex Artery (CX), which was treated with one drug-eluting stent. The patient was
transferred back to the intermediate care unit and was discharged on the dual antiplatelet therapy on the fifth day.
The left ventricular ejection fraction was normal. The heart enzymes increased slightly and norma.. View More»
DOI:
10.35248/2161-1025.23.13.307