How should I treat a left main spontaneous dissection involving left anterior descending artery, intermediate branch artery and left circumflex artery?

Chiara Bernelli, Silvia Ajello, Daniela Piraino, Alaide Chieffo, Matteo Montorfano, Davide Maccagni, Alessandro Durante, Francesco Maria Sacco, Alberto Margonato, Antonio Colombo

Research output: Contribution to journalArticle


BACKGROUND: A 45-year-old woman presented to the emergency department with ST-segment elevation myocardial infarction (STEMI). INVESTIGATION: Physical examination, electrocardiography, coronary angiography, echocardiography, cardiac computed tomography. DIAGNOSIS: STEMI due to spontaneous left main coronary artery dissection involving left anterior descending, intermediate and left circumflex arteries. TREATMENT: Percutaneous coronary intervention (PCI).

Original languageEnglish
Issue number2
Publication statusPublished - 2013



  • Acute myocardial infarction
  • Left main spontaneous coronary artery dissection
  • Multivessel disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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