Recurrent STEMI caused by multivessel spontaneous coronary dissection

A coronariography was performed to a 52year old female patient who presented a sudden syncope. It revealed a suboclusive distal lesion on posterolateral branch and a slight narrowed lumen of posterior descending artery (PDA). Spontaneous dissection was suspected and an optical coherence tomography (OCT) was performed. A dissection in the proximal part of the PDA (Fig. 1A) and an intramural haematoma until PAD ostium (Fig. 1B-E) were observed. A conservative management was decided as the patient was asymptomatic and stable.

Source: Cardiovascular Revascularization Medicine - March 6, 2017 Category: Cardiology Authors: Bruno Limpo, Juan Manuel Nogales Asensio, Mar ía Reyes González Fernández, Antonio Merchán Herrera, Jose Ramón López-Mínguez Source Type: research