Late in-stent coronary dissection in an elderly woman: An interesting case report

Dogan A., Turker Y., Ozaydin M., Acar G., Kahraman H.

INTERNATIONAL JOURNAL OF CARDIOLOGY, vol.125, no.2, 2008 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Letter
  • Volume: 125 Issue: 2
  • Publication Date: 2008
  • Doi Number: 10.1016/j.ijcard.2007.06.108
  • Journal Indexes: Science Citation Index Expanded, Scopus


Primary or de novo spontaneous coronary dissection has been reported in many cases; however, in-stent dissection was demonstrated in the previously stented segment of coronary artery only in an autopsy study. Therefore, we report a 78-year-old female presenting with angina pectoris and dyspnea for the last 20 days. She had undergone stent implantation for a significant stenosis in the left anterior descending artery 3 years ago. In-stent dissection flap limiting coronary flow was noted at the coronary angiography and successfully treated with coronary restenting. She had no symptoms at follow-up. (C) 2007 Elsevier Ireland Ltd. All rights reserved.