Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report

Spontaneous coronary artery dissection (SCAD) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. This condition may occur particularly in women during late pregnancy and in the postpartum period. We present the case of a 33-year-old African America...

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Main Authors: Amin Daoulah, Awad Al Qahtani, Majed Mazen Malak, Saud Al Ghamdi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-04-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/248
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author Amin Daoulah
Awad Al Qahtani
Majed Mazen Malak
Saud Al Ghamdi
author_facet Amin Daoulah
Awad Al Qahtani
Majed Mazen Malak
Saud Al Ghamdi
author_sort Amin Daoulah
collection DOAJ
description Spontaneous coronary artery dissection (SCAD) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. This condition may occur particularly in women during late pregnancy and in the postpartum period. We present the case of a 33-year-old African American woman, who had spontaneous left anterior descending coronary artery (LAD) dissection two weeks postpartum, resulting in acute ST-segment elevation myocardial infarction with severe left ventricular dysfunction. The use of the intravascular ultrasound (IVUS) in our case confirmed the diagnosis and helped with stent sizing and implantation. On subsequent follow-up, there was marked left ventricular function recovery and clinical improvement.
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spelling doaj.art-e8f1cdfa93ce4024856f9f4e5283063f2022-12-22T01:07:40ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712012-04-0172246Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case ReportAmin Daoulah0Awad Al Qahtani1Majed Mazen Malak2Saud Al Ghamdi3King Faisal Specialist Hospital & Research Center-Jeddah, Jeddah, Saudi Arabia.Hamad Medical Corporation, Doha, Qatar.King Abdulaziz University Hospital, Jeddah, Saudi Arabia.King Faisal Specialist Hospital & Research Center-Jeddah, Jeddah, Saudi Arabia.Spontaneous coronary artery dissection (SCAD) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. This condition may occur particularly in women during late pregnancy and in the postpartum period. We present the case of a 33-year-old African American woman, who had spontaneous left anterior descending coronary artery (LAD) dissection two weeks postpartum, resulting in acute ST-segment elevation myocardial infarction with severe left ventricular dysfunction. The use of the intravascular ultrasound (IVUS) in our case confirmed the diagnosis and helped with stent sizing and implantation. On subsequent follow-up, there was marked left ventricular function recovery and clinical improvement.https://jthc.tums.ac.ir/index.php/jthc/article/view/248UltrasonographyintreventionalCoronary vesselsDissectionCoronary angiographyMyocardial infarction
spellingShingle Amin Daoulah
Awad Al Qahtani
Majed Mazen Malak
Saud Al Ghamdi
Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
Journal of Tehran University Heart Center
Ultrasonography
intreventional
Coronary vessels
Dissection
Coronary angiography
Myocardial infarction
title Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
title_full Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
title_fullStr Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
title_full_unstemmed Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
title_short Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
title_sort role of ivus in assessing spontaneous coronary dissection a case report
topic Ultrasonography
intreventional
Coronary vessels
Dissection
Coronary angiography
Myocardial infarction
url https://jthc.tums.ac.ir/index.php/jthc/article/view/248
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AT majedmazenmalak roleofivusinassessingspontaneouscoronarydissectionacasereport
AT saudalghamdi roleofivusinassessingspontaneouscoronarydissectionacasereport