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Unusual interventional treatment of spontaneous coronary artery dissection without stent implantation: a case series.


ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is a unique cause of myocardial infarction, and optimal treatment should be selected according to the ischaemic condition. Patients with ongoing ischaemia or haemodynamic instability may require revascularization. Cutting balloon (CB) angioplasty has been acknowledged as an option for revascularization. However, few observations of the coronary artery conditions after CB angioplasty in SCAD patients have been reported. Here, we demonstrate two cases in which we evaluated the angiographic morphology of targeted coronary arteries in the chronic phase after CB angioplasty.

Case summary

Patient 1 was a 46-year-old woman who presented at our hospital with chest pain. Electrocardiography suggested acute coronary syndrome and

SUBMITTER: Fujita H 

PROVIDER: S-EPMC8350351 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature