Spontaneous-Idiopathic Left Anterior Descending Artery Dissection : Is Watchful Waiting Better Than Immediate Stenting?

Abstract EN

Spontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet.

The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial.

The case described is that of a young, otherwise healthy woman, who presented with an ostial dissection of the left anterior descending (LAD) artery.

Due to patient’s stable clinical and hemodynamic parameters, we used a cautious approach based on watchful waiting and medical therapy, postponing stenting in order to achieve a partial vessel reopening with a more comfortable access to PCI.