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Intravascular ultrasound-guided percutaneous coronary intervention for total occlusion of the proximal left anterior descending artery caused by spontaneous coronary dissection in a young woman

Cardiovascular Intervention and Therapeutics volume 27, pages 31–35 (2012)Cite this article

An Erratum to this article was published on 02 November 2011

Abstract

A 35-year-old woman was admitted to our hospital because of a sudden cardiac arrest caused by an acute anterior myocardial infarction. Emergency coronary angiography showed total occlusion of the proximal left anterior descending artery (LAD). We performed an intravascular ultrasound (IVUS) to detect the LAD orifice and successfully inserted the guidewire to the occluded LAD. An IVUS revealed coronary dissection and no atheromatous plaque from the orifice to the mid-portion of the LAD and the guidewire was in the true lumen. Two bare metal stents were implanted in the proximal and mid portion of the LAD. After stenting to the LAD, coronary dissection retrogradely extended to the left circumflex artery (LCx). Therefore, we performed additional stent implantation from the left main trunk (LMT) to the proximal LCx and the just proximal LAD. An IVUS guided percutaneous coronary intervention (PCI) enabled complete revascularization to spontaneous coronary artery dissection.

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Affiliations

  1. Department of Cardiology, Komaki City Hospital, 1-20 Jobushi, Komaki, Aichi, 485-8520, Japan

    Naoki Kano, Katsuhiro Kawaguchi, Junya Funabiki, Yoshihiro Kamimura, Akinori Sawamura, Kentaro Mukai, Hajime Imai, Yasuhiro Ogawa & Taizo Kondo

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  1. Naoki Kano
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  2. Katsuhiro Kawaguchi
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  3. Junya Funabiki
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  4. Yoshihiro Kamimura
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  5. Akinori Sawamura
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  6. Kentaro Mukai
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  7. Hajime Imai
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  8. Yasuhiro Ogawa
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  9. Taizo Kondo
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Correspondence to Naoki Kano.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s12928-011-0078-8.

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Kano, N., Kawaguchi, K., Funabiki, J. et al. Intravascular ultrasound-guided percutaneous coronary intervention for total occlusion of the proximal left anterior descending artery caused by spontaneous coronary dissection in a young woman. Cardiovasc Interv and Ther 27, 31–35 (2012). https://doi.org/10.1007/s12928-011-0076-x

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  • DOI: https://doi.org/10.1007/s12928-011-0076-x

Keywords

  • Spontaneous coronary artery dissection
  • IVUS guided PCI
  • Sudden cardiac arrest
  • Bare metal stent