title: Spontaneous dissection of the left main coronary artery.
abstract: Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-elevation myocardial infarction and sudden cardiac death. The authors describe a 33-year-old pregnant woman who presented with a non-ST segment elevation myocardial infarction secondary to a spontaneous dissection of the left main coronary artery.
authors.affiliation: Interventional Cardiology Program, Toronto General Hospital, University Health Network, Ontario.
authors.forename: Prasad
authors.initials: P
authors.lastname: Shah
authors.forename: Vladimir
authors.initials: V
authors.lastname: Dzavik
authors.forename: R J
authors.initials: RJ
authors.lastname: Cusimano
authors.forename: Mathew
authors.initials: M
authors.lastname: Sermer
authors.forename: Nanette
authors.initials: N
authors.lastname: Okun
authors.forename: John
authors.initials: J
authors.lastname: Ross
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000473:pathology; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D005313:Fetal Death; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome