title: Spontaneous coronary arterial dissection causing acute myocardial infarction.
abstract: We report the case of a middle-aged female who presented with an acute inferior myocardial infarction treated with intravenous thrombolytics. Immediate coronary angiography demonstrated the presence of a spiral dissection and a large thrombus. After 1 week of anticoagulation the thrombus had resolved, but a large spiral dissection persisted. This was confirmed by intracoronary ultrasound. We then review the literature on spontaneous coronary arterial dissection.
authors.affiliation: University of Texas Health Science Center, Houston, USA.
authors.forename: E S
authors.initials: ES
authors.lastname: Carell
authors.forename: T C
authors.initials: TC
authors.lastname: Toole
authors.forename: B
authors.initials: B
authors.lastname: Lachterman
authors.forename: A
authors.initials: A
authors.lastname: Krishnaswami
authors.forename: H V
authors.initials: HV
authors.lastname: Anderson
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D014463:Ultrasonography