IJCS | Volume 32, Nº2, May/June 2019

298 Figure 1 - Leiomyoma embolization. A: initial features of the right uterine artery; B: initial features of the left uterine artery. C: final features of the right uterine artery; D: final features of the left uterine artery. Falcão et al. Coronary angioplasty with bleeding Int J Cardiovasc Sci. 2019;32(3)297-301 Case Report same procedure, bilateral embolization of uterine arteries was performed with 500-700 µm polyvinyl alcohol bilateral to control vaginal bleeding, followed by PTCA of the LAD with 3.0 x 20 mm non-drug eluting stent (Omega, Boston Scientific Inc., Natick, USA) at 18 atm (Figures 1 and 2), without complications. The patient showed good clinical response, with significant improvement of bleeding and cardiovascular symptoms until hospital discharge. The patient continued dual antiplatelet therapy for one month. During 150 days of cardiological follow-up, no recurrence of angina was reported. The patient continued gynecological follow-up, an no surgery was required for myomas. Discusssion Women’s diseases generally have a temporal relationship with hormone profile. During menstrual period, women tend to develop estrogen-dependent diseases, such as endometriosis and uterine myomas, whereas in the postmenopausal period, hyperlipidemia, coronary artery disease (CAD), among others, are more frequent. Nagai et al., 3 in a prospective cohort with 49,000 women, identified the age at peak incidence for 20 women’s diseases. Peak incidence of uterine myoma was 44.8 years of old, and angina pectoris, 65. Therefore, the association between these two conditions is not common, with a 20-year difference between their peak of incidence. 3