Spontaneous coronary artery dissection (SCAD) is a rare and important cause of acute coronary syndrome and sudden cardiac death. Various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. SCAD is predominant in women and is usually diagnosed via coronary artery angiography. Therapeutic interventions include medical th...

BACKGROUND Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI). CASE PRESENTATION We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary inter...

We present a case of a 43-year-old lady who presented with an acute coronary syndrome, but without any cardiac risk factors or previous cardiac symptoms, and who had a spontaneous coronary artery dissection. This was successfully treated with percutaneous coronary intervention. A brief discussion of this clinical entity and literature review is presented.

Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrom...

©2014 Turkish League Against Rheumatism. All rights reserved. We read with interest the article by Akpınar et al. entitled “Left Main Coronary Dissection in a Patient with Takayasu's Arteritis” that was published in the Turkish Journal of Rheumatology. The authors reported on a 48-year-old female patient who was diagnosed with Takayasu’s arteritis along with a spontaneous left main coronary art...

Background-Spontaneous coronary artery dissection (SCAD) is an acute coronary event of

Rev Esp Cardiol. 2009;62(5):576-88 587 of the distal circumflex artery, severe stenosis of the first marginal artery and slightly reduced left ventricular ejection fraction. A percutaneous coronary intervention was also performed during the procedure. After the deobstruction and first dilation with balloon of the distal circumflex, the patient began to feel chest pain and an angiograph showed a...

Coronary artery dissection leading to acute myocardial infarction after blunt chest trauma is extremely rare. A 67-year-old woman suffered blunt chest trauma following a traffic accident. The electrocardiogram revealed acute posterior ST-segment elevation and myocardial infarction and coronary angiography demonstrated acute right coronary artery dissection. Following the death of the victim an ...

Although both coronary artery dissection and heparin-induced thrombocytopenia may provoke myocardial infarction, it is extremely rare for both conditions to develop simultaneously in a single patient. We report a case of a 69-year-old woman who sustained a head-on motor vehicle accident with associated chest trauma. During a subsequent hospitalization, she was exposed to subcutaneous heparin an...

Background-Spontaneous coronary artery dissection (SCAD) is an acute coronary event of