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Double vessel extension of spontaneous left main coronary artery dissection in young women treated with thrombolytics
Author(s) -
Zupan Igor,
Noč Marko,
Trinkaus Darinka,
Popović Mara
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200102)52:2<226::aid-ccd1054>3.0.co;2-r
Subject(s) - medicine , cardiogenic shock , myocardial infarction , cardiology , dissection (medical) , right coronary artery , artery , chest pain , artery dissection , circumflex , coronary arteries , autopsy , left coronary artery , surgery , coronary angiography
Spontaneous coronary artery dissection is an extremely rare cause of myocardial infarction. The prognosis and treatment of coronary artery dissection have not yet been defined. We report on a 42‐year‐old woman who was admitted to the emergency unit of a regional hospital with central chest pain and electrocardiographic signs of extensive acute anterior myocardial infarction (MI). She was treated with thrombolytics, yet her condition deteriorated rapidly, resulting in cardiogenic shock. An angiogram revealed dissection of the left main coronary artery that extended into the anterior descending (LAD) and circumflex arteries (LCX). At autopsy a recent anterolateral MI of the left ventricle was found. Dissection of the left coronary artery system was confirmed. Extension of the dissection may have been due to thrombolytic treatment. Cathet Cardiovasc Intervent 2001;52:226–230. © 2001 Wiley‐Liss, Inc.