Acute myocardial infarction from spontaneous coronary artery dissection a case report and review of the literature

Cardiol Rev. 2004 Jan-Feb;12(1):3-9. doi: 10.1097/01.crd.0000064425.00053.D5.

Abstract

Spontaneous coronary artery dissection is a rare event as a cause of acute myocardial infarction. Optimal treatment remains unclear. In this report, we describe a case of spontaneous acute coronary artery dissection presenting as recurrent acute myocardial infarction in a postmenopausal woman, successfully treated with systemic thrombolysis. The case is discussed with review of the pertinent literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anticoagulants / therapeutic use
  • Aortic Dissection / complications*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / therapy
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / drug therapy
  • Coronary Angiography
  • Electrocardiography
  • Female
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Middle Aged
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / etiology*
  • Recombinant Proteins / therapeutic use
  • Recurrence
  • Tissue Plasminogen Activator / therapeutic use

Substances

  • Anticoagulants
  • Fibrinolytic Agents
  • Recombinant Proteins
  • Tissue Plasminogen Activator