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Heart 2004;90:e39 doi:10.1136/hrt.2004.035659
  • Electronic pages

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

  1. J Auer1,
  2. C Punzengruber1,
  3. R Berent1,
  4. T Weber1,
  5. G Lamm1,
  6. P Hartl2,
  7. B Eber1
  1. 1Department of Cardiology, General Hospital Wels, Wels, Austria
  2. 2Department of Cardiovascular Surgery, General Hospital Wels
  1. Correspondence to:
    Dr J Auer
    Department of Cardiology, General Hospital Wels, A-4600 Wels, Austria; johann.auerkhwels.at
  • Accepted 17 March 2004

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.

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