Ventricular tachycardia in a man with spontaneous coronary artery dissection.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute ischemic coronary events. It is more prevalent in young women, particularly in the peripartum period. In men it is an extremely rare cause. We described the clinical course of a patient, man, presenting pain chest and ventricular malignant arrhythmias. Four days after admission the patient underwent coronary angiography, showing a large SCAD. After this, he had undergone coronary artery bypass surgery. He presented an angiography and clinical resolution and he was still asymptomatic at a 6-month clinical follow up. Pathophysiologic aspects and treatment options of spontaneous coronary artery dissection are discussed.
García-Borbolla
Mariano
M
Araji
Omar
O
Velazquez
Carlos
C
Barquero
Jose Miguel
JM
Contreras
Juan Manuel
JM
García
Francisco
F
Hidalgo
Rafael
R
García-Borbolla
Rafael
R
Almendro
Manuel
M
Infantes
Carlos A
CA
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D017023:Coronary Angiography / Q000379:methods; D006801:Humans; D008297:Male; D008571:Men; D017180:Tachycardia, Ventricular / Q000150:complications / Q000000981:diagnostic imaging*