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Heart 2004;90:e39; doi:10.1136/hrt.2004.035659
Copyright © 2004 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2004;90:e39
© 2004 by BMJ Publishing Group & British Cardiac Society

CASE REPORT

Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound

J Auer1, C Punzengruber1, R Berent1, T Weber1, G Lamm1, P Hartl2, B Eber1

1 Department of Cardiology, General Hospital Wels, Wels, Austria
2 Department of Cardiovascular Surgery, General Hospital Wels

Correspondence to:
Correspondence to:
Dr J Auer
Department of Cardiology, General Hospital Wels, A-4600 Wels, Austria; johann.auer{at}khwels.at

ABSTRACT

This case report describes the devastating consequences of spontaneous coronary dissection in a 36 year old female patient who otherwise had a normal coronary arteriogram. Intravascular ultrasound showed coronary artery dissection and intramural haematoma at the left main stem coronary artery. Acute coronary syndrome developed and subsequently surgical revascularisation was performed successfully.

Keywords: coronary artery; left main stem; dissection; spontaneous dissection; intravascular ultrasound


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Heart 2004 90: 749. [Extract] [Full Text] [PDF]

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