Spontaneous coronary artery dissection mimicking acute aortic dissection.
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.
Kim
Seong Hwan
SH
Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea. ny0021@medimail.co.kr
Kim
Min-Kyu
MK
Kim
Eung Ju
EJ
Park
Woo Jung
WJ
Choi
Young Jin
YJ
Rhim
Chong Yun
CY
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
D000959:Antihypertensive Agents