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. 2010 Sep 3:4:178-80.
doi: 10.2174/1874192401004010178.

Spontaneous dissection of right coronary artery manifested with acute myocardial infarction

Stelios Paraskevaidis  1 , Efstratios K Theofilogiannakos, Yiannis S Chatzizisis, Lilian Mantziari, Fotis Economou, Antonios Ziakas, Stavros Hadjimiltiades, Ioannis H Styliadis
Affiliations

Spontaneous dissection of right coronary artery manifested with acute myocardial infarction

Stelios Paraskevaidis et al. Open Cardiovasc Med J. .

Abstract

Spontaneous coronary artery dissection is a rare cause of acute ischemic coronary events and sudden cardiac death. It usually occurs in young women without traditional risk factors for coronary artery disease during pregnancy or postpartum period. However, it has also been reported in patients with atherosclerotic coronary disease. We present a case of spontaneous right coronary artery dissection in a 48-year male with recent myocardial infarction and previous percutaneous coronary intervention.

Keywords: Coronary artery dissection; atherosclerosis..

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Figures

Fig. (1)
Fig. (1)
A. Coronary angiogram five years before showing the lesion in the middle RCA (white arrow). The distal RCA is normal, B. The artery after stenting of the lesion (white arrow), C. Spiral dissection in the distal RCA (black arrow) manifested with inferior acute myocardial infarction. The dissection is also depicted in magnification on the upper right corner, D. Distal RCA after stenting of the dissection (black arrow). The restoration of vessel patency after successful stenting is also depicted in magnification on the upper right corner.
See this image and copyright information in PMC

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