I am a 46 year old female and had a spontaneous dissection of the OM1 branch of the circumflex artery one month ago, with approximately 90% occlusion and a 5-10% infarction. This in my opinion was chronic and intermittent for about three years with a negative workup until it came to a full blown ischemic event a month ago. I have had two opinions stating it is not safe to stent and not feasable to bypass. I had a positive setsamibi stress test last week showing ongoing ischemia. I continue to have pain particularily with exercise but also at rest. I am on Coreg as well as Isodur, aspirin, and Zocor for inflamation (I have a total cholesterol of 150 and HDL of 80). I am otherwise healthy, no family history, have a BMI of 18, and have run numerous marathons.
Ann, I had a spontaneous dissection of the RCA repaired successfully with a non-stented 3.5 X 25 mm stent. I had an 85% occlusion. The procedure took a long time, I'm told, I just have fleeting memories but I do know it was a difficult procedure. I take Coreg, Plavix, Hctz, Altace, 81 mg aspirin and Vytorin.
My Cardiologist confirmed the comment from the doc responding to the Interventional Cardiology section of this forum that it was probably caused due to location between two earlier stents, it set up a spasm of some sort.
I certainly know nothing, I'm just a fellow heart patient, but I know that a spontaneous dissection is generally considered a serious condition. I'd consider another opinion if that is possible to you, especially if the two opinions you have are from doctors in the same hospital. Others on this site might be able to guide you how to have your records sent to a place like the Cleveland Clinic or other top-notch cardiac hospital/research center, I don't know how that is done.
Good luck, I hope you find a solution. I'm going to monitor your posting hoping to hear something postitive from you.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.