WJCD  Vol.2 No.4 , October 2012
An unusual case presentation of spontaneous coronary artery dissection
ABSTRACT
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction in the young which can be life threatening. The clinical presentation is wide, ranging from simple chest pain to sudden death. Asymptomatic spontaneous coronary dissection is extremely rare. We present a case of asymptomatic spontaneous coronary artery dissection which was managed conservatively; we also review the literature and various treatment options.

Cite this paper
Thumma, S. , Bathina, J. , Madiraju, S. , Spodick, D. and Maddukuri, P. (2012) An unusual case presentation of spontaneous coronary artery dissection. World Journal of Cardiovascular Diseases, 2, 313-315. doi: 10.4236/wjcd.2012.24049.
References
[1]   Cohen, D.E. and Strimike, C.L. (2000) A case of multiple spontaneous coronary artery dissections. Catheterization and Cardiovascular Interventions, 49, 18-20. doi:10.1002/(SICI)1522-726X(200003)49:3<318::AID-CCD19>3.0.CO;2-C

[2]   Rover, A., Srihari, T., Rogers, J., Moazami, N. and Lasala, J. (2004) Spontaneous multivessel coronary artery dissection in a young asymptomatic patient. Journal of Interventional Cardiology, 17, 123-127.

[3]   Shankarappa, R.K., Panneerselvam, A., Dwarakaprasad, R., Karur, S., Krishnanaik, G.B. and Nanjappa, M.C. (2009) Spontaneous asymptomatic coronary artery dissection in a young man. Journal of Cardiology, 54, 499- 502. doi:10.1016/j.jjcc.2009.03.007

[4]   Pretty, H.C. (1931) Dissecting aneurysm of coronary artery in a woman aged 42. British Medical Journal, 1, 667.

[5]   Jorgensen, M.B., Aharonian, V., Mansukhani, P. and Mahrer, P.R. (1994) Spontaneous coronary dissection: A cluster of cases with this rare finding. American Heart Journal, 127, 1382-1387. doi:10.1016/0002-8703(94)90060-4

[6]   Robinowitz, M., Virmani, R. and McAllister, H.A. (1982) Spontaneous coronary artery dissection and eosinophilic inflammation: A cause and effect relationship? American Journal of Medicine, 72, 923-928. doi:10.1016/0002-9343(82)90853-1

[7]   Kearney, P., Erbel, R., Ge, J., Zamorano, J., Koch, L., G?rge, G. and Meyer, J. (1994) Assessment of spontaneous coronary artery dissection by intravascular ultrasound in a patient with unstable angina. Catheterization and Cardiovascular Diagnosis, 32, 58-61. doi:10.1002/ccd.1810320114

[8]   Ades, L.C., Waltham, R.D., Chiodo, A.A., et al. (1995) Myocardial infarction resulting from coronary artery dissection in an adolescent with Ehlers-Danlos syndrome type IV due to a type III collagen mutation. British Heart Journal, 74, 112-116. doi:10.1136/hrt.74.2.112

[9]   Aldoboni Hamza, E.A., Majdi, K., Ngibzadhe, M., Palasaidi, S. and Moayed, D.A. (2002) Spontaneous dissection of coronary artery treated by primary stenting as the first presentation of systemic lupus erythematosus. Journal of Invasive Cardiology, 14, 694-696.

[10]   Harada, H., Honma, Y., Hachiro, Y., Mawatari, T. and Abe, T. (2002) Traumatic coronary artery dissection. The Annals of Thoracic Surgery, 74, 236-237. doi:10.1016/S0003-4975(01)03515-9

[11]   Steinhauer, J.R. and Caulfield, J.B. (2001) Spontaneous coronary artery dissection associated with cocaine use: A case report and brief review. Cardiovascular Pathology, 10, 141-145. doi:10.1016/S1054-8807(01)00074-6

[12]   Azam, M.H., Roberts, D.H. and Logan, W.F.W.E. (1995) Spontaneous coronary artery dissection associated with oral contraceptive use. International Journal of Cardiology, 48, 195-198,. doi:10.1016/0167-5273(94)02238-E

[13]   Ellis, C.J., Haywood, G.A. and Monro, J.L. (1994) Spontaneous coronary artery dissection in a young woman resulting from an intense gymnasium “work-out”. International Journal of Cardiology, 47, 193-194. doi:10.1016/0167-5273(94)90191-0

[14]   Buys, E.M., Suttorp, M.J., Morshuis, W.J. and Plokker, H.W. (1994) Extension of a spontaneous coronary artery dissection due to thrombolytic therapy. Catheterization and Cardiovascular Diagnosis, 33, 157-160. doi:10.1002/ccd.1810330216

[15]   Cheung, S., Mithani, V. and Watson, R. (2000) Healing of spontaneous coronary dissection in the context of glycoprotein IIb/IIIa inhibitor therapy: A case report. Catheterization and Cardiovascular Interventions, 51, 95-100. doi:10.1002/1522-726X(200009)51:1<95::AID-CCD22>3.0.CO;2-M

 
 
Top