[Spontaneous dissection of the distal anterior interventricular artery during intravenous thrombolysis].
A case is reported of spontaneous coronary dissection in a 55-year-old patient with an anterior myocardial infarction treated by intravenous thrombolysis. The angiographic appearance was highly characteristic with successive opacification of the true then the false channel involving the entire distal third of the anterior interventricular artery. The outcome was immediately favourable. Spontaneous dissection of coronary arteries is rare. The etiology is discussed and there is not standard management approach.
Blanc
P
P
Service de Cardiologie, Hôpital Pasteur, Nice.
Hoffman
P
P
Latour
F
F
Camilleri
J F
JF
Jami
H
H
Morand
P
P
D000784:Aortic Dissection / Q000209:etiology*; D003327:Coronary Disease / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy; D015912:Thrombolytic Therapy / Q000009:adverse effects*
Dissection spontanée de l'artère interventriculaire antérieure distale observée au décours d'une thrombolyse intraveineuse.