Korean Circ J.  1995 Dec;25(6):1241-1246. 10.4070/kcj.1995.25.6.1241.

4 Cases of Spontaneous Coronary Dissection in Ischemic Heart Disease

• Lee WS
• Yoo BS
• Ahn SC
• Seo BK
• Yoon J
• Park KS
• Choe KH

• KMID: 2093556
• DOI: http://doi.org/10.4070/kcj.1995.25.6.1241

Abstract

Spontaneous coronary artery dissection is a rarely identified entity whose exact incidence, etiology, pathogenesis, medium-term evolution and optimal treatment have not yet been firmly estabilished. The cause of spontaneous disection remains unclear but theories of etiology include a medial eosinophilic angiitis, pregnancy induced degeneration of collagen and rupture of the vasovasoum. Most paients die suddenly, but a clinical spectrum is seen including and unstable angina, myocardial infarction and cardiogenic shock. We experienced 4 cases with spontaneous coronary artery dissection found angiographically which caused myocardial infarction and unstable angina. Our patients were treated medically.

Keyword

Spontaneous coronary dissection; Acute myocardial infarction

MeSH Terms

Angina, Unstable
Collagen
Coronary Vessels
Eosinophils
Humans
Incidence
Myocardial Infarction
Myocardial Ischemia*
Pregnancy
Rupture
Shock, Cardiogenic
Vasculitis
Collagen