title: Spontaneous coronary artery dissection by intravascular ultrasound in a patient with myocardial infarction.
abstract: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. The treatment is often challenging. Medical treatment is usually considered, and percutaneous coronary intervention or coronary artery bypass surgery may be possible in some patients. We herein report two cases of middle-aged males with myocardial infarction who were treated with percutaneous coronary angioplasty.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Ji Hun
authors.initials: JH
authors.lastname: Jang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Dae Hyeok
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Dong Hyuk
authors.initials: DH
authors.lastname: Yang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Seong Il
authors.initials: SI
authors.lastname: Woo
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jun
authors.initials: J
authors.lastname: Kwan
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Keum Soo
authors.initials: KS
authors.lastname: Park
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Sung-Hee
authors.initials: SH
authors.lastname: Shin
mesh_terms: D000328:Adult; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D062645:Percutaneous Coronary Intervention; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D018084:Ultrasonography, Interventional
keywords: Coronary angiography; Coronary artery dissection, spontaneous; Myocardial infarction; Percutaneous coronary intervention; Ultrasonography, interventional