Percutaneous treatment of spontaneous left main coronary artery dissection extending to the left anterior descending and circumflex arteries possibly triggered by thrombolytic therapy

Habib Saadat; Maryam Taherkhani; Morteza Safi; Hosein Vakili; Mohammad Hassan Namazi; Hamid Reza Poorhoseini; Mohammad Reza Movahed

doi:10.1055/s-0031-1278344

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Int J Angiol 2009; 18(3): 151-154
DOI: 10.1055/s-0031-1278344

Case Report

Percutaneous treatment of spontaneous left main coronary artery dissection extending to the left anterior descending and circumflex arteries possibly triggered by thrombolytic therapy

Habib Saadat¹ , Maryam Taherkhani¹ , Morteza Safi¹ , Hosein Vakili¹ , Mohammad Hassan Namazi¹ , Hamid Reza Poorhoseini² , Mohammad Reza Movahed³

¹Cardiovascular Department of Modaress Hospital, Shahid Beheshti University, Tucson, Arizona, USA
²Tehran Heart Center, Tehran, Iran, Tucson, Arizona, USA
³Department of Medicine, Division of Cardiology, The Southern Arizona VA Health Care System and the University of Arizona Sarver Heart Center, Tucson, Arizona, USA

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Publication History

Publication Date:
28 April 2011 (online)

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Abstract

Spontaneous coronary artery dissection is a rare cause of myocardial infarction and the role of thrombolytic therapy in this setting is not known. A case of acute ST elevation myocardial infarction is presented, with initial positive response to thrombolytic therapy and subsequent marked worsening of ST elevation due to extensive dissection, possibly triggered by thrombolytic therapy, which was successfully treated with percutaneous coronary intervention.