title: Spontaneous coronary artery dissection mimicking acute aortic dissection.
abstract: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome or sudden cardiac death, occurring predominantly in the female sex without cardiovascular risk factors. Although the etiology and pathogenesis remain uncertain, hypertension has not appeared to be one of the most important factors. This case report describes a patient with spontaneous coronary artery dissection in proximal right coronary artery who presented the signs and symptoms of acute aortic dissection. The authors postulate that hypertension may have been an important factor for the pathogenesis of the spontaneous coronary artery dissection.
authors.affiliation: Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea. ny0021@medimail.co.kr
authors.forename: Seong Hwan
authors.initials: SH
authors.lastname: Kim
authors.forename: Min-Kyu
authors.initials: MK
authors.lastname: Kim
authors.forename: Eung Ju
authors.initials: EJ
authors.lastname: Kim
authors.forename: Woo Jung
authors.initials: WJ
authors.lastname: Park
authors.forename: Young Jin
authors.initials: YJ
authors.lastname: Choi
authors.forename: Chong Yun
authors.initials: CY
authors.lastname: Rhim
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000628:therapy; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000175:diagnosis*; D001416:Back Pain / Q000209:etiology / Q000473:pathology; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000628:therapy; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D012307:Risk Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000959:Antihypertensive Agents