title: Spontaneous Coronary Artery Dissection Associated With Ascending Aortic Dystrophy: A Tear for Fear.
abstract: A 36-year-old man with a recent history of surgery for an aortic valve ascending aortic aneurysm was admitted for non-ST-elevation myocardial infarction. Cardiac magnetic resonance imaging showed a limited necrotic lesion in the anterior wall. Coronary angiography showed no significant stenosis, but a mild distal dynamic tortuosity was seen on the left anterior descending artery. Optical coherence tomography analysis confirmed the absence of any significant atherosclerotic infiltration but revealed the presence of a localized short arterial dissection within the kinked zone. The patient was managed with a conservative medical approach. The subsequent evolution was uneventful.
authors.affiliation: Department of Cardiology, Institut Mutualiste Montsouris, Paris, France. Electronic address: nicolas.amabile@imm.fr.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Amabile
authors.affiliation: Department of Cardiac Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Lansac
authors.affiliation: Department of Cardiology, Institut Mutualiste Montsouris, Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Caussin
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D041623:Tomography, Optical Coherence; D014652:Vascular Diseases / Q000151:congenital* / Q000175:diagnosis / Q000209:etiology