Spontaneous coronary artery dissection during a dobutamine stress echocardiography

Echocardiography
Ilias KarabinosDemosthenes Katritsis

Abstract

We report a case of a spontaneous dissection of the right coronary artery during a dobutamine stress echocardiography (DSE) study in a middle-aged male. Our patient experienced a severe retrosternal pain of abrupt onset during the DSE study, whereas EKG was evident of significant ST segment elevation in II, III, avF, and V5-V6 leads, followed by an accelerated idioventricular rhythm. Immediate coronary angiogram revealed a minor dissection of the distal part of the right coronary artery.

Citations

Dec 2, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Ilias KarabinosDemosthenes Katritsis
Oct 13, 2007·Annales de cardiologie et d'angéiologie·D KénizouJ Lévy
Sep 22, 2019·Kardiologiia·N S ZhukovaI I Staroverov
May 9, 2019·Case Reports in Cardiology·Mahmood MubasherTahir Hamid

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