Acute coronary syndrom as a consequence of sponataneous coronary dissection

Abstract

We describe a case report of female with an acute coronary syndrom. Angiography was not clear, performed IVUS (Boston Galaxy2)showed an extensive dissection of left coronary artery.

Patient was treated conservatively, 2 weeks after the intramural hematoma regreded and PCI of severe stenozis with pseudoaneurysm of proximal LAD (probably original entry) was performed with DES (TAXUS). 3,5 years after the onset, the patient is well.

Keywords

• sponataneous coronary dissection
• acute coronary syndrom
• intravascular ultrasound
• acute myocardial infarction
• drug-eluting stent