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Self-expanding stent for spontaneous coronary artery dissection

a rational choice

Mele, Marcoa; Langialonga, Tommasob; Maggi, Alessandroa; Villella, Massimoc; Villella, Alessandroa

Journal of Cardiovascular Medicine: December 2016 - Volume 17 - Issue - p e254–e256
doi: 10.2459/JCM.0000000000000371
Research letters
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Spontaneous coronary artery dissection (SCAD) is a rare and poorly understood cause of acute coronary syndrome in relatively young patients. Nowadays, the optimal treatment of SCAD is uncertain. A conservative approach seems to be preferable, but in particular conditions, an invasive strategy is necessary. The poor rate of procedural success, the high risk of procedural complications and the uncertain long and mid-term results make the interventional treatment of SCAD a challenge. We report a case of a young male patient presenting with SCAD successfully treated with a sirolimus-eluting self-expanding coronary stent. To our knowledge, the use of self-expanding coronary stent for SCAD has never been described yet and we discuss about the rationale of a possible larger use in clinical practice.

aCoronary Care Unit-Cardiology Unit, Teresa Masselli-Mascia Hospital, San Severo (FG), ASL FG

bCardiology Department, Hospital F. Miulli, Acquaviva delle Fonti (BA)

cCardiology Department, Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy

Correspondence to Marco Mele, MD, Coronary Care Unit-Cardiology Unit, Masselli-Mascia Hospital, ASL FG, Via Teresa Masselli 28, San Severo, FG 71016, Italy Tel +039 882 200263; fax: +039 882 200344; e-mail: drmelemarco@yahoo.it

Received 21 October, 2015

Revised 12 December, 2015

Accepted 23 January, 2016

© 2016 Italian Federation of Cardiology. All rights reserved.