[Spontaneous dissection of the left main coronary arteries in three women].
Spontaneous dissection of the coronary artery is a rare cause of sudden death and myocardial infarction. We report three cases in women aged 32, 38, and 55 years. One patient was one week post partum. In one case all three coronary arteries were involved. Two patients underwent coronary artery bypass grafting and one died of acute heart failure. The epidemiology, aetiology, and clinical manifestations are briefly described. We suggest that coronary angiography should be considered in young women with acute myocardial infarction and few risk factors of atherosclerosis.
Mortensen
U M
UM
Arhus Universitetshospital, Skejby Sygehus, hjertemedicinsk afdeling B. ulrikmm@hotmail.com
Nielsen-Kudsk
J E
JE
Andersen
H R
HR
Nielsen
T T
TT
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D012307:Risk Factors
Spontan dissektion af venstre koronararteries hovedstamme hos tre kvinder.