title: Young male survivor of a spontaneous left main coronary artery dissection treated with surgery.
abstract: Spontaneous dissection of the coronary arteries is a rare disease with a wide range of clinical presentations ranging from angina to myocardial infarction (MI); its pathophysiology has not yet been fully established. In this paper, we present the case of a 31-year-old male with an acute coronary syndrome. The initial results of the electrocardiogram and cardiac enzymes were consistent with MI. However, a coronary angio-tomography revealed a dissection of the left main coronary artery and the patient underwent emergent surgery with coronary artery bypass grafting. The treatment of spontaneous dissection of the coronary arteries depends on the anatomical location and the patient's clinical presentation. Coronary revascularization is associated with good results.
authors: Division of Cardiothoracic Surgery, Department of Surgery, Hospital Metropolitano, Quito, Ecuador drsantiagoendara@gmail.com.
authors: Santiago A
authors: SA
authors: Endara
authors: Resident General Surgery, Universidad Internacional del Ecuador- Hospital Metropolitano, Quito, Ecuador.
authors: Andres V
authors: AV
authors: Ayala
authors: Division of Cardiothoracic Surgery, Department of Surgery, Hospital Metropolitano, Quito, Ecuador.
authors: Gerardo A
authors: GA
authors: Davalos
authors: Internal Medicine Service, Department of Internal Medicine, Hospital Metropolitano, Quito, Ecuador.
authors: Juan
authors: J
authors: Moscoso
authors: Radiology Service, Department of Internal Medicine, Hospital Metropolitano, Quito, Ecuador.
authors: R Alejandra
authors: RA
authors: Montero