Spontaneous left main coronary artery dissection
Roberto Cini 1*,
Federica Iezzi 2,
Paolo Sordini 1,
Vincenzo Pasceri 1
1 San Filippo Neri Hospital, Rome, Italy
2 University La Sapienza, Rome, Italy
* To whom correspondence should be addressed. E-mail: roberto.cini{at}fastwebnet.it.
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Abstract |
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Spontaneous coronary artery dissection is a rare and generally fatal disease. A review of the literature demonstrates that the aetiopathogenesis of the disease is unknown and that the histology is rarely described. It usually occurs in young women during the post- partum period or while taking oral contraceptives. The treatment depends on the clinical presentation and the results of the angiography. We report here a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory which which occurred in a 43-year-old woman. Keywords: Coronary dissection; Estro-progestinic therapy; Surgical revascularization
