An Occlusive Left Main Spontaneous Coronary Artery Dissection

Mehdi Bamous, Jacques Robin, Younes Moutakiallah, Fouad Nya, Olivier Metton, Jean Ninet

Department of Cardiothoracic Surgery, Luis Pradel Hospital, University of Claude Bernard 1, Lyon, France..

DOI: 10.4236/ojts.2013.31005                

Abstract

Spontaneous coronary artery dissection (SCAD) should be strongly suspected in young women with few or no traditional risk factors for atherosclerosis. Prompt diagnosis and treatment improve survival. The most appropriate strategy for managing SCAD is still controversial due to the heterogeneity of this population. We describe a case of spontaneous left main coronary artery (LMCA) dissection in a young women that was successfully managed by percutaneous coronary intervention (PCI) followed by coronary artery bypass grafting (CABG), this case illustrates the utility of coronary computed tomography (CT) and magnetic resonance imagery (MRI) in assessing complex coronary dissection, thereby helping to determine the best timing for surgery.

Keywords

Coronary Dissection; Coronary Artery Imaging; MRI; Computed Tomography; CABG; Arterial Grafts

Conflicts of Interest

The authors declare no conflicts of interest.

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