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Review
. 2010 Oct 3:2010:bcr0620080221.
doi: 10.1136/bcr.06.2008.0221.

Spontaneous coronary artery dissection

K N Asrress  1 , A P Banning, A R J Mitchell
Affiliations
Review

Spontaneous coronary artery dissection

K N Asrress et al. BMJ Case Rep. .

Abstract

We present a case of a 43-year-old lady who presented with an acute coronary syndrome, but without any cardiac risk factors or previous cardiac symptoms, and who had a spontaneous coronary artery dissection. This was successfully treated with percutaneous coronary intervention. A brief discussion of this clinical entity and literature review is presented.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Coronary angiogram showing dissection of the intermediate artery with distal occlusion of the vessel.
Video 1
Video 1
Left coronary angiogram showing dissection of the intermediate artery.
Figure 2
Figure 2
Coronary angiogram following stenting of the dissected artery segment (guide wire in situ).
Video 2
Video 2
Left coronary angiogram following deployment of a coronary stent that has restored flow to the dissected intermediate artery (angioplasty wire in situ).
See this image and copyright information in PMC

References

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    1. DeMaio SJ, Jr, Kinsella SH, Silverman ME. Clinical course and long-term prognosis of spontaneous coronary artery dissection. Am J Cardiol 1989;64:471–4 - PubMed
    1. Parry R, MacConnell T, Wilde P. Case report: spontaneous coronary artery dissection. Clin Radiol 1994;49:142–3 - PubMed
    1. Butler R, Webster MW, Davies G, et al. Spontaneous dissection of native coronary arteries. Heart 2005;91:223–4 - PMC - PubMed

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