Coronary embolisation, spontaneous coronary artery dissection, and myocardial bridges are rare causes of Myocardial Infarction (MI) in the youth. Here, we report a young male who developed myocardial infarction at the age of 19. Investigations revealed that he had mitral stenosis, myocardial bridge, and angiographic features of healed coronary dissection.

We report a case of a 46-year-old woman with hypertension and autosomal dominant polycystic kidney disease who presented with chest pain and was found to have spontaneous coronary artery dissection (SCAD) on diagnostic catheterization. We review the pathogenesis, management and prognosis of SCAD. We conclude that in patients with polycystic kidney disease who present with angina pectoris and po...

Coronary artery dissection is a rare but well-described cause for myocardial infarction during the post-partum period. Dissection of multiple coronary arteries is even less frequent. Here we present a case of recurrent post-partum coronary artery dissections. This unusual presentation poses unique problems for management. A 35 year-old female, gravida 3 para 2, presented with myocardial infarct...

A 57 year old man required emergency coronary artery bypass surgery after dissection of the left main coronary artery during percutaneous transluminal coronary angioplasty. His symptoms recurred when the vein grafts became occluded. A dilatation device with the lowest profile was used to reduce the need for firm support from the guiding catheter during repeat percutaneous transluminal coronary ...

Guide catheter induced dissection of coronary arteries is an uncommon, but serious complication of coronary angioplasty. Treatment can include emergent coronary artery bypass grafting to the affected vessel or percutaneous intervention including wiring the true lumen and exclusion stenting of the dissection flap to prevent further propagation. Detailed descriptions have been published of techni...

Background: Ehlers-Danlos syndrome type IV -vascular typeis an inherited connective tissue disorder characterized by several clinical features: easy bruisability, translucent skin, acrogeria and uterine, intestinal or arterial rupture. The arteries most frequently involved are the iliac, splenic, renal arteries and the aorta. Diagnosis is made utilizing clinical criteria (Beighton) and collagen...

BackgroundSpontaneous coronary artery dissection (SCAD) is a non-atherosclerotic cause of acute syndrome (ACS) that affects women disproportionately. Previous case series have found patients with SCAD undergoing cardiac catheterisation high rates iatrogenic damage. We formally compared the rate in and without over 11-year period.MethodsWomen were identified by search database 2007–2017 for keyw...

Dissection of a coronary artery is a recognised and significant complication of diagnostic coronary angiography that often requires emergency coronary artery bypass grafting. A coronary stent was used to treat this complication. This technique has potential advantages in terms of speed of reperfusion and availability in centres performing diagnostic angiography without surgical cover on site.

BACKGROUND The etiology of spontaneous dissection of coronary artery (SDCA) is not well understood yet. Different studies have linked this entity to pregnancy, physical stress, collagen diseases and vasculitis. In general, patients do not exhibit the classic risk factors for coronary artery disease, which mandates the suspicion of this condition, especially in young adults with acute coronary s...

conclusions routine predilation of the sb in provisional stenting of true bifurcation lesions seems to be ineffective and might be associated with some undesirable consequences. still, there are some complex ostial lesions of the sb which could benefit from predilation. patients and methods sixty patients with true bifurcation lesions according to the medina classification were included in the ...