[Spontaneous coronary artery dissection as a rare cause of an acute coronary syndrome]

Publication

[Spontaneous coronary artery dissection as a rare cause of an acute coronary syndrome]

Journal Paper/Review - Nov 1, 2002

Maeder Micha, Ammann Peter, Angehrn W, Rickli Hans

Citation

Maeder M, Ammann P, Angehrn W, Rickli H. [Spontaneous coronary artery dissection as a rare cause of an acute coronary syndrome]. Zeitschrift für Kardiologie 2002; 91:951-5.

Type

Journal Paper/Review (Deutsch)

Journal

Zeitschrift für Kardiologie 2002; 91

Publication Date

Nov 1, 2002

Issn Print

0300-5860

Pages

951-5

Brief description/objective

Spontaneous coronary artery dissection is a rare cause of an acute coronary syndrome. This report describes a previously healthy woman without cardiovascular risk factors who presented with an acute anterior non-ST elevation myocardial infarction. Coronary angiography revealed an isolated longitudinal dissection in the middle part of the left anterior descending coronary artery (LAD) with normal flow of the contrast media. The patient was treated conservatively with heparin, aspirin, clopidogrel, and beta-receptor blocker. Stress exercise test was normal at discharge. After an event-free follow-up of three and a half months coronary angiography showed a completely normal LAD. Literature about epidemiology, pathogenesis, diagnosis and treatment of spontaneous coronary artery dissection is reviewed.