Spontaneous coronary artery rupture and cardiac tamponade in Ehlers-Danlos syndrome type IV.
Spontaneous coronary artery rupture resulted in cardiac tamponade in a man with Ehlers-Danlos syndrome (type IV) presenting with acute onset of cardiac chest pain. Electrocardiograms suggested acute myocardial infarction. The haemopericardium was drained and angiography showed a ruptured distal branch of the left circumflex coronary artery. The patient remains well.
Evans
R H
RH
Department of Medicine, University of Wales College of Medicine, UK.
Fraser
A G
AG
D000328:Adult; D002305:Cardiac Tamponade / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D004535:Ehlers-Danlos Syndrome / Q000150:complications* / Q000503:physiopathology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology; D012422:Rupture, Spontaneous