Successful Percutaneous Coronary Intervention in a Patient With aVR ST-Segment Elevation Myocardial Infarction Due to Spontaneous Atherosclerotic Coronary Artery Dissection

11/13/2021 12:00:00 AM

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Authors: Yudistira Panji Santosa, Angelina Yuwono

Publication date:  13 November 2021

Cureus

Volume: 13 (11); e19545   

Link:  https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/34917430/

 

Chest pain is a common clinical symptom that leads to a patient‘s admission to the emergency department, which may be caused by acute coronary syndrome (ACS). Electrocardiography (ECG) is a useful tool for diagnosis, risk stratification, and treatment response monitoring in clinical practice. The coronary angiography should be done in ACS, which may detect spontaneous atherosclerotic coronary artery dissection (SCAD) that should be followed by urgent revascularization. We present a case of a 55-year-old male with the augmented Vector Right (aVR) ST-segment elevation myocardial infarction due to spontaneous atherosclerotic coronary artery dissection. The patient had a good outcome after we performed early coronary angiography, followed by the percutaneous coronary intervention (PCI).

 

Keywords: cardiology; coronary angiography; myocardial infarction; pci; percutaneous coronary intervention; primary pci; scad; stemi; sudden atherosclerotic coronary artery dissection; vascular.