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Percutaneous transluminal coronary angioplasty (PTCA) is a nonsurgical alternative in the management of selected patients with coronary artery disease. Intimal dissection is the mechanism by which PTCA dilates coronary obstructions. Acute vessel occlusion is a rare but severe complication. Vessel patency can often be restored by fibrinolytic therapy when occlusion occurs immediately after angioplasty. A case of a patient with coronary dissection after PTCA and delayed obstruction, possibly aggravated by streptokinase is presented.
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