Recurrent coronary artery dissection of left main trunk initially presented with normal coronary angiography
| Autor: | Reiko Yamasaki, Hiroto Tamaru, Kenji Kawai, Tohru Masuyama, Shinya Fukui, Kenki Ashida, Kumiko Masai, Masahiko Shibuya, Masaharu Ishihara, Tetsuo Horimatsu, Tomotaka Ando, Yuji Miyamoto, Ten Saita, Kenichi Fujii, Takahiro Imanaka, Akinori Sumiyoshi |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Coronary angiography
medicine.medical_specialty medicine.diagnostic_test business.industry Sudden cardiac arrest 030204 cardiovascular system & hematology medicine.disease Trunk Article 03 medical and health sciences 0302 clinical medicine Internal medicine Recurrent myocardial infarction Angiography medicine Cardiology 030212 general & internal medicine Myocardial infarction Radiology medicine.symptom Cardiology and Cardiovascular Medicine Artery dissection Scad business |
| Popis: | Although spontaneous coronary artery dissection (SCAD) is usually diagnosed by coronary angiography, diagnosis may be missed because of various presentations and imperfections of coronary angiography. We report a case of a 41-year-old female with pregnancy-related SCAD who presented with cardiac arrest. Initial coronary angiography was normal without intimal flap. Unexpectedly, 4 days after admission, SCAD in left main trunk was revealed with recurrent myocardial infarction. Intimal flap was sealed at the time of first angiography and this is an interesting point that made us report this case. SCAD is a rare but not negligible cause of not only acute myocardial infarction but also sudden cardiac arrest even if first coronary angiography is normal. . |
| Databáze: | OpenAIRE |
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