Korean J Intern Med.  2014 Jan;29(1):106-110. 10.3904/kjim.2014.29.1.106.

Spontaneous coronary artery dissection by intravascular ultrasound in a patient with myocardial infarction

• Jang JH
• Kim DH
• Yang DH
• Woo SI
• Kwan J
• Park KS
• Shin SH

• KMID: 1792019
• DOI: http://doi.org/10.3904/kjim.2014.29.1.106

Abstract

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. The treatment is often challenging. Medical treatment is usually considered, and percutaneous coronary intervention or coronary artery bypass surgery may be possible in some patients. We herein report two cases of middle-aged males with myocardial infarction who were treated with percutaneous coronary angioplasty.

Keyword

Coronary artery dissection, spontaneous; Myocardial infarction; Coronary angiography; Ultrasonography, interventional; Percutaneous coronary intervention

MeSH Terms

Adult
Coronary Artery Disease/*complications/surgery/ultrasonography
Humans
Male
Middle Aged
Myocardial Infarction/*etiology/surgery/ultrasonography
*Percutaneous Coronary Intervention
Rupture, Spontaneous/surgery/ultrasonography
Ultrasonography, Interventional