Spontaneous multi-vessel dissection associated with mid-menstrual cycle estrogen surge presenting as an acute myocardial infarction: A caution to be vigilant 

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Presentation transcript:

Spontaneous multi-vessel dissection associated with mid-menstrual cycle estrogen surge presenting as an acute myocardial infarction: A caution to be vigilant  Pritesh Parekh, Navin Agrawal, Apurva Vasavada, Mahesh Vinchurkar, Mitesh Chauhan  Journal of Indian College of Cardiology  Volume 5, Issue 1, Pages 93-97 (March 2015) DOI: 10.1016/j.jicc.2014.05.001 Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 1 RAO caudal view shows the dissected arteries laden with thrombus. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 2 LAO caudal view still image showing the dissection of the LMCA, LAD and LCX. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 3 The angiogram after infusion of GPIIb–IIIa infusion showing decreased thrombus and the vessels having been wired for PTCA. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 4 Deployment of the stent from LMCA to LAD. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 5 Angiogram in LAO caudal view after angioplasty showing good antegrade flow and restored perfusion. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 6 The angiographic image of the patient during follow up showing patent stent. Journal of Indian College of Cardiology 2015 5, 93-97DOI: (10.1016/j.jicc.2014.05.001) Copyright © 2014 Indian College of Cardiology Terms and Conditions

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