PMID- 25519008 OWN - NLM STAT- MEDLINE DCOM- 20150807 LR - 20181113 IS - 1471-2261 (Electronic) IS - 1471-2261 (Linking) VI - 14 DP - 2014 Dec 17 TI - Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent. PG - 191 LID - 10.1186/1471-2261-14-191 [doi] LID - 191 AB - BACKGROUND: Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI). CASE PRESENTATION: We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary intervention (PCI) facilities. She was transferred to our hospital and coronary angiography revealed a spontaneous dissection of the left main stem coronary artery (LM). The dissection was successfully managed with PCI. CONCLUSION: PCI appears to be a potential option, for the treatment of selected cases with spontaneous LM dissection, presenting with an acute coronary syndrome. FAU - Graidis, Christos AU - Graidis C AD - Department of Interventional Cardiology, Kyanous Stavros Hospital, Vizyis-Vyzantos 1 Street, Thessaloniki 54636, Greece. dimitriadis1980@gmail.com. FAU - Dimitriadis, Dimokritos AU - Dimitriadis D FAU - Karasavvidis, Vasileios AU - Karasavvidis V FAU - Dimitriadis, Georgios AU - Dimitriadis G FAU - Argyropoulou, Efstathia AU - Argyropoulou E FAU - Economou, Fotios AU - Economou F FAU - Spiromitros, George AU - Spiromitros G FAU - Antoniou, Antonios AU - Antoniou A FAU - Karakostas, Georgios AU - Karakostas G LA - eng PT - Case Reports PT - Journal Article DEP - 20141217 PL - England TA - BMC Cardiovasc Disord JT - BMC cardiovascular disorders JID - 100968539 RN - Coronary Artery Dissection, Spontaneous SB - IM MH - Adult MH - Coronary Angiography MH - Coronary Vessel Anomalies/complications/diagnostic imaging/*surgery MH - *Drug-Eluting Stents MH - Electrocardiography MH - Female MH - Humans MH - Myocardial Infarction/diagnosis/etiology MH - Percutaneous Coronary Intervention/instrumentation/*methods MH - Vascular Diseases/complications/*congenital/diagnostic imaging/surgery PMC - PMC4279601 EDAT- 2014/12/19 06:00 MHDA- 2015/08/08 06:00 PMCR- 2014/12/17 CRDT- 2014/12/19 06:00 PHST- 2014/08/15 00:00 [received] PHST- 2014/12/10 00:00 [accepted] PHST- 2014/12/19 06:00 [entrez] PHST- 2014/12/19 06:00 [pubmed] PHST- 2015/08/08 06:00 [medline] PHST- 2014/12/17 00:00 [pmc-release] AID - 1471-2261-14-191 [pii] AID - 833 [pii] AID - 10.1186/1471-2261-14-191 [doi] PST - epublish SO - BMC Cardiovasc Disord. 2014 Dec 17;14:191. doi: 10.1186/1471-2261-14-191.