Dissecção coronariana espontânea: relato de caso

Couto, Gustavo José Ventura; Deslandes, Alexandre de Oliveira; Santos, Paulo César; Cruz, Alexandre de Araújo; Saraiva, Roberto Santos

doi:10.1590/s0102-76382007000100021

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…It should show the presence of a double radiopaque lumen separated by a radiolucent intimal flap or a slow clearance of contrast from the false lumen [6]. …”

Section: Discussionmentioning

confidence: 99%

Young male survivor of a spontaneous left main coronary artery dissection treated with surgery

Endara¹,

Ayala²,

Dávalos³

et al. 2013

Journal of Surgical Case Reports

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Spontaneous dissection of the coronary arteries is a rare disease with a wide range of clinical presentations ranging from angina to myocardial infarction (MI); its pathophysiology has not yet been fully established. In this paper, we present the case of a 31-year-old male with an acute coronary syndrome. The initial results of the electrocardiogram and cardiac enzymes were consistent with MI. However, a coronary angio-tomography revealed a dissection of the left main coronary artery and the patient underwent emergent surgery with coronary artery bypass grafting. The treatment of spontaneous dissection of the coronary arteries depends on the anatomical location and the patient's clinical presentation. Coronary revascularization is associated with good results.

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“…It should show the presence of a double radiopaque lumen separated by a radiolucent intimal flap or a slow clearance of contrast from the false lumen [6]. …”

Section: Discussionmentioning

confidence: 99%

Young male survivor of a spontaneous left main coronary artery dissection treated with surgery

Endara¹,

Ayala²,

Dávalos³

et al. 2013

Journal of Surgical Case Reports

View full text Add to dashboard Cite

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Spontaneous Coronary Artery Dissection in a Woman With Polycystic Kidney Disease

Itty

Farshid

Talaulikar

2009

American Journal of Kidney Diseases

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Autosomal dominant polycystic kidney disease (ADPKD), characterized by renal cyst formation, is known to cause such vascular abnormalities as arterial dilatation and dissection. However, spontaneous coronary artery dissection (SCAD) is observed only rarely in patients with ADPKD. We report a patient with ADPKD who developed SCAD and presented with acute myocardial infarction. Her coronary angiography showed a long spiral dissection of the left anterior descending coronary artery. She underwent successful coronary angioplasty with insertion of 3 drug-eluting stents. To the best of our knowledge, this is the first reported case of percutaneous coronary intervention for coronary dissection in a patient with ADPKD. The pathophysiological characteristics of vascular complications in patients with ADPKD are discussed. Polycystins are strongly expressed in human adult vascular smooth muscle cells, and the vascular abnormalities in patients with ADPKD may be related to altered expression of polycystins. Because early recoginition and prompt efforts at mechanical reperfusion, if indicated, are crucial for successful management of SCAD, it would be worthwhile to consider SCAD in the differential diagnoses of acute coronary syndrome in patients with ADPKD.

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Dissecção coronariana espontânea: relato de caso

Cited by 2 publications

References 2 publications

Young male survivor of a spontaneous left main coronary artery dissection treated with surgery

Young male survivor of a spontaneous left main coronary artery dissection treated with surgery

Spontaneous Coronary Artery Dissection in a Woman With Polycystic Kidney Disease

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