The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지
DOI QR코드

DOI QR Code

Spontaneous coronary artery dissection by intravascular ultrasound in a patient with myocardial infarction

  • Jang, Ji Hun (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Dae Hyeok (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Yang, Dong Hyuk (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Woo, Seong Il (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Kwan, Jun (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Keum Soo (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Shin, Sung-Hee (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine)
  • Received : 2012.07.10
  • Accepted : 2012.10.04
  • Published : 2014.01.01
⟨ Previous Next ⟩

Abstract

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. The treatment is often challenging. Medical treatment is usually considered, and percutaneous coronary intervention or coronary artery bypass surgery may be possible in some patients. We herein report two cases of middle-aged males with myocardial infarction who were treated with percutaneous coronary angioplasty.

Keywords

References

  1. Pretty HC. Dissecting aneurysms of coronary artery in a woman aged 42: rupture. Br Med J 1931;1:667. https://doi.org/10.1136/bmj.1.3667.667
  2. Ciraulo DA, Chesne RB. Coronary arterial dissection: an unrecognized cause of myocardial infarction, with subsequent coronary arterial patency. Chest 1978;73:677-679. https://doi.org/10.1378/chest.73.5.677
  3. Togni M, Amann FW, Follath F. Spontaneous multivessel coronary artery dissection in a pregnant woman treated successfully with stent implantation. Am J Med 1999;107:407-408.
  4. Motreff P, Souteyrand G, Dauphin C, Eschalier R, Cassagnes J, Lusson JR. Management of spontaneous coronary artery dissection: review of the literature and discussion based on a series of 12 young women with acute coronary syndrome. Cardiology 2010;115:10-18. https://doi.org/10.1159/000244608
  5. Vrints CJ. Spontaneous coronary artery dissection. Heart 2010;96:801-808. https://doi.org/10.1136/hrt.2008.162073
  6. Pasalodos Pita J, Vazquez Gonzalez N, Perez Alvarez L, Vazquez Rodriguez JM, Castro Beiras A. Spontaneous coronary artery dissection. Cathet Cardiovasc Diagn 1994;32:27-32. https://doi.org/10.1002/ccd.1810320106
  7. Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR. Spontaneous coronary dissection: a cluster of cases with this rare finding. Am Heart J 1994;127:1382-1387. https://doi.org/10.1016/0002-8703(94)90060-4
  8. Zampieri P, Aggio S, Roncon L, et al. Follow up after spontaneous coronary artery dissection: a report of five cases. Heart 1996;75:206-209. https://doi.org/10.1136/hrt.75.2.206
  9. DeMaio SJ Jr, Kinsella SH, Silverman ME. Clinical course and long-term prognosis of spontaneous coronary artery dissection. Am J Cardiol 1989;64:471-474. https://doi.org/10.1016/0002-9149(89)90423-2
  10. Thompson EA, Ferraris S, Gress T, Ferraris V. Gender differences and predictors of mortality in spontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol 2005;17:59-61.

Cited by

  1. Spontaneous coronary artery dissection, a commonly overlooked etiology of acute coronary syndrome vol.10, pp.4, 2014, https://doi.org/10.1080/20009666.2020.1781029
  2. The Imaging Toolbox to Assess Patients with Suspected Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease (MINOCA) vol.22, pp.11, 2014, https://doi.org/10.1007/s11886-020-01379-x