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Case Reports
. 2021 Aug 25;35(1):86-87.
doi: 10.1080/08998280.2021.1958579. eCollection 2022.

Acute coronary artery dissection after multiple bee stings

Gaspar Del Rio-Pertuz  1 , Jose Correa-Guerrero  2 , Emilio Abuabara-Franco  3 , Erwin E Argueta-Sosa  4 , Mostafa Abohelwa  1 , Nicholas G Kounis  5 , Kenneth Nugent  1
Affiliations
Case Reports

Acute coronary artery dissection after multiple bee stings

Gaspar Del Rio-Pertuz et al. Proc (Bayl Univ Med Cent). .

Abstract

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.

Keywords: Acute coronary artery dissection; Kounis syndrome; acute myocardial infarction; honeybee.

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Figures

Figure 1.
Figure 1.
Electrocardiogram at the emergency department admission.
Figure 2.
Figure 2.
Coronary arteriogram. (a) Illustrative representation of the left coronary artery showing an acute coronary artery dissection in the proximal anterior descending artery (arrow in yellow). (b) Coronary arteriography of the left coronary artery showing an acute coronary artery dissection in the proximal anterior descending artery. The yellow arrow shows the location of the long, diffuse, and smooth narrowing in the artery.
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