Document Detail

Spontaneous healing of spontaneous coronary artery dissection.
MedLine Citation:
PMID:  20104464     Owner:  NLM     Status:  MEDLINE    
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and sudden cardiac death. It should be suspected in every healthy young woman without cardiac risk factors, especially during the peripartum or postpartum periods. It is important to check for a history of drug abuse, collagen vascular disease or blunt trauma of the chest. Coronary angiography is essential for diagnosis and early management. We wonder whether thrombolysis might aggravate coronary dissection. All types of treatment (medical therapy, percutaneous intervention or surgery) improve the prognosis without affecting survival times if used appropriately according to the clinical stability and the angiographic features of the involved coronary arteries. Prompt recognition and targeted treatment improve outcomes. We report a case of SCAD in a young female free of traditional cardiovascular risk factors, who presented six hours after thrombolysis for ST elevation myocardial infarction. Coronary angiography showed a dissection of the left anterior descending and immediate branch. She had successful coronary artery bypass grafting, with complete healing of left anterior descending dissection.
Amar Almafragi; Carl Convens; Paul Van Den Heuvel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology journal     Volume:  17     ISSN:  1897-5593     ISO Abbreviation:  Cardiol J     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392712     Medline TA:  Cardiol J     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  92-5     Citation Subset:  IM    
Cardiovascular Institute Middelheim, AZ Middelheim, Antwerp, Belgium.
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MeSH Terms
Aneurysm, Dissecting / physiopathology*,  radiography,  surgery
Coronary Aneurysm / physiopathology*,  radiography,  surgery
Coronary Angiography
Coronary Artery Bypass, Off-Pump
Internal Mammary-Coronary Artery Anastomosis
Myocardial Infarction / drug therapy*,  physiopathology*
Remission, Spontaneous
Thrombolytic Therapy / adverse effects*
Wound Healing*

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