[Primary isolated dissection of the left anterior descending coronary artery].
The authors report the case of a 30 year old Senegalese man admitted with an acute antero-septo-apical myocardial infarction which was fibrinolysed at the 5th hour. Coronary angiography showed dissection of the left anterior descending artery. This young patient with no previous medical history or cardiovascular risk factors had an abnormal skin biopsy showing proliferation of the elastic tissues. Eight months after the infarct the patient is asymptomatic and the appearances of dissection have disappeared. This case is original because the dissection occurred in a man, affecting the left anterior descending artery, with a good outcome after fibrinolysis (4th case), the angiographic regression of the arterial lesion and the possible pathogenetic mechanism of disease of elastic tissues.
Montagne
O
O
Service de cardiologie, hôpital Henri-Mondor, Créteil.
Pochmalicki
G
G
Jan
F
F
Boutouyrie
P
P
Zelinski
R
R
Aptecar
E
E
Geschwind
H
H
D000328:Adult; D000784:Aortic Dissection / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D003327:Coronary Disease / Q000209:etiology* / Q000628:therapy; D004547:Elastic Tissue / Q000473:pathology; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy; D005082:Physical Exertion; D012867:Skin / Q000473:pathology; D015912:Thrombolytic Therapy
Dissection primitive isolée de l'artère interventriculaire antérieure.