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Case Reports in Vascular Medicine
Volume 2013, Article ID 639384, 3 pages
Case Report

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

Interventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, Italy

Received 9 June 2013; Accepted 11 July 2013

Academic Editors: N. Espinola-Zavaleta and N. Kuriyama

Copyright © 2013 A. Arrivi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.