Acute coronary artery dissection after multiple bee stings.
Gaspar Del Rio-PertuzJose Correa-GuerreroEmilio Abuabara-FrancoErwin E Argueta-SosaMostafa M AbohelwaNicholas G KounisKenneth M NugentPublished in: Proceedings (Baylor University. Medical Center) (2021)
The occurrence of an acute coronary syndrome following an anaphylactic or anaphylactoid reaction is known as Kounis syndrome. Previous reports of Kounis syndrome described an acute coronary syndrome due either to vasospasm or atherosclerotic rupture of a coronary artery in the presence of cutaneous manifestation from the anaphylactic reaction. We report a case of a 33-year-old man who presented with anterior wall acute myocardial infarction immediately after honeybee stings without the presence of cutaneous manifestations other than the bee sting lesions. Emergent coronary arteriography revealed dissection of the proximal left anterior descending artery, which was treated with balloon dilation with an excellent outcome.
Keyphrases
- coronary artery
- acute coronary syndrome
- percutaneous coronary intervention
- acute myocardial infarction
- pulmonary artery
- antiplatelet therapy
- subarachnoid hemorrhage
- liver failure
- case report
- risk assessment
- coronary artery disease
- heart failure
- drug induced
- left ventricular
- emergency department
- single cell
- hepatitis b virus
- intensive care unit
- pulmonary arterial hypertension
- adverse drug
- pulmonary hypertension
- acute respiratory distress syndrome
- transcatheter aortic valve replacement