Idiopathic spontaneous coronary artery dissection and drug-eluting stents

Successful emergency surgery for spontaneous coronary artery dissection in a young woman

“…However, uncontrolled escalating coronary dissections, extension of intramural hematoma, and acute coronary thrombosis have been reported after stenting. 5 In some cases these complications were responsible for heart failure and requirement of left ventricle assist devices even in case of single vessel disease. 6 Urgent realignment of the true lumen with minimal risk for recurrence is mandatory and we propose surgical grafting with or without coronary endarterectomy.…”

The healing of spontaneous coronary artery dissection with conservative treatment: When to stop

“…e l s e v i e r . c o m / l o c a t e / i j c a r d metallic jacket covering of a long segment of the coronary artery [2,3,[6][7][8]. In our case, we did not need to attempt wiring the lesion in order to prevent the propagation of dissection and blocking the flow to the distal part of the LAD.…”

Acute myocardial infarction due to coronary dissection in early postpartum

“…The safety of drug eluting stents is unknown, and the necessity for prolonged dual antiplatelet therapy makes their use in this context problematic. There are also concerns that DES could delay the healing process in the vessel wall of patients with SCAD [9]. Safety of standard treatment in infarction remains uncertain for pregnant or breastfeeding patients.…”