title: Spontaneous left main coronary artery dissection.
abstract: Spontaneous coronary artery dissection is a rare and generally fatal disease. A review of the literature demonstrates that the aetiopathogenesis of the disease is unknown and that the histology is rarely described. It usually occurs in young women during the post-partum period or while taking oral contraceptives. The treatment depends on the clinical presentation and the results of the angiography. We report here a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory which which occurred in a 43-year-old woman.
authors.affiliation: Department of Cardiovascular, Division of Cardiac Surgery, San Filippo Neri Hospital, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cini
authors.forename: Federica
authors.initials: F
authors.lastname: Iezzi
authors.forename: Paolo
authors.initials: P
authors.lastname: Sordini
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Pasceri
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D012307:Risk Factors; D012501:Saphenous Vein / Q000637:transplantation*; D013898:Thoracic Injuries / Q000150:complications; D016896:Treatment Outcome
chemical_list: D003277:Contraceptives, Oral, Combined; D003278:Contraceptives, Oral, Hormonal