Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
| Autor: | Javiera Perelli S, Ricardo Zalaquett S, Sebastián Robert B, Cecilia Muñoz C, Dante Lindefjeld |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome medicine.medical_treatment Dissection (medical) 030204 cardiovascular system & hematology Anterior Descending Coronary Artery Sudden death Percutaneous coronary intervention Angina 03 medical and health sciences 0302 clinical medicine Internal medicine Intravascular ultrasound Medicine cardiovascular diseases medicine.diagnostic_test business.industry 030208 emergency & critical care medicine General Medicine Spontaneous coronary artery dissection Coronary artery bypass grafting (CABG) medicine.disease Surgery Coronary arteries medicine.anatomical_structure Cardiology business |
| Zdroj: | Revista médica de Chile v.144 n.2 2016 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Spontaneous coronary artery dissection is a rare condition that usually causes a coronary syndrome, but may also cause sudden death. It is more common in women and is associated with factors such as the peripartum period and oral contraceptive use. We report two cases. A 45-year-old woman with hepatitis C, presenting in the emergency room with angina. An intravascular ultrasound showed a dissecting hematoma involving the left, anterior descending and circumflex coronary arteries. She was initially managed with nitroglycerin, anticoagulation and anti-platelet drugs but due to persistence of symptoms, she required surgical revascularization. A 32-year-old woman presenting in the emergency room with angina. A coronary angiogram revealed a dissection of the anterior descending coronary artery. Eight days later an intravenous ultrasound showed a retrograde progression of the dissection and she was subjected to a surgical revascularization. |
| Databáze: | OpenAIRE |
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