J Transcat Intervent.2021;29:eA20200031.
Spontaneous coronary artery dissection as a cause of ST-segment elevation myocardial infarction
Stéphany Oliveira Bastos
, Raquel Rovere Carbelin
, José de Arimatéa Francisco
, Gustavo Gomes Mello de Matos
, Evandro Gomes de Matos Júnior
, Tiago Porto di Nucci
DOI: 10.31160/JOTCI202129A20200031
ABSTRACT
Spontaneous coronary artery dissection is an uncommon condition, and the patients’ clinical presentation is often underestimated due to few risk factors for atherosclerotic disease. Treatment must be individualized, with conservative therapy as the first option, respecting the criteria for referral for interventional treatment. We report a case of spontaneous coronary dissection, initially manifested as a non-ST segment elevation acute coronary syndrome, progressing to transmural infarction, in a young patient, with few risk factors for coronary artery disease, and give examples of difficulties related to the percutaneous approach.
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