title: Survival with acute primary coronary artery dissection: a case report and review of the literature.
abstract: Primary coronary artery dissection is a rare etiology of acute myocardial infarction (AMI) that often has devastating consequences. We present the case of a 46-year-old male survivor of primary coronary artery dissection who was diagnosed angiographically. He suffered a non-Q-wave MI but had no electrocardiographic (ECG) changes during his course. A review of the literature of primary coronary artery dissection, particularly those diagnosed antemortem, is provided.
authors.affiliation: Joint Military Medical Centers, Emergency Medicine Residency, San Antonio, Texas.
authors.forename: L A
authors.initials: LA
authors.lastname: Wellford
authors.forename: T M
authors.initials: TM
authors.lastname: Kelly
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000401:mortality; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications