title: Idiopathic spontaneous coronary artery dissection presenting as acute myocardial infarction in a young boy.
abstract: Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction. It is more commonly seen in the younger age group particularly in women. We report a case of 14-year-old boy that presented with acute myocardial infarction (MI), with left ventricular (LV) dysfunction and was detected to have left main coronary artery dissection on coronary angiography. Myocardial perfusion imaging did not show any evidence of reversible ischemia. Patient was managed conservatively and was marginally improved. This case highlights one of the rare causes of myocardial infarction and the use of myocardial perfusion imaging in selecting treatment options for management of this rare entity.
authors.affiliation: Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. manoj_786@hotmail.com
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Rohit
authors.forename: Pushpendra Kumar
authors.initials: PK
authors.lastname: Garg
authors.forename: Vuppaladadhiam
authors.initials: V
authors.lastname: Hariram
authors.forename: Anju
authors.initials: A
authors.lastname: Gupta
authors.forename: Anil
authors.initials: A
authors.lastname: Grover
mesh_terms: D000293:Adolescent; D000784:Aortic Dissection / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013997:Time Factors; D018487:Ventricular Dysfunction, Left