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Spontaneous Coronary Artery Dissection as Acute ST Elevation Myocardial Infarction Receiving Primary Coronary Intervention

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並列摘要


Spontaneous coronary artery dissection (SCAD) represents a rare cause of acute coronary syndromes. A 38-year-old female without traditional cardiovascular risk factors, admitted for an acute anterior wall ST-elevation myocardial infarction, received primary coronary intervention, in addition to repeated cardiac catheterization for coronary stenting over the middle left anterior descending artery due to the initially obscure culprit lesion during admission. SCAD also occurred in the left circumflex artery. She was finally discharged uneventfully. Six months after discharge, coronary angiography for the angina symptoms showed a new SCAD just below the original stenting site, plus coronary stenting performed. She has remained asymptomatic for more than one year till now.

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