4 Cases of Spontaneous Coronary Dissection in Ischemic Heart Disease.
10.4070/kcj.1995.25.6.1241
- Author:
Won Sik LEE
;
Byung Su YOO
;
Seung Chan AHN
;
Byoung Ki SEO
;
Junghan YOON
;
Keum Soo PARK
;
Kyung Hoon CHOE
- Publication Type:Case Report
- Keywords:
Spontaneous coronary dissection;
Acute myocardial infarction
- MeSH:
Angina, Unstable;
Collagen;
Coronary Vessels;
Eosinophils;
Humans;
Incidence;
Myocardial Infarction;
Myocardial Ischemia*;
Pregnancy;
Rupture;
Shock, Cardiogenic;
Vasculitis
- From:Korean Circulation Journal
1995;25(6):1241-1246
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous coronary artery dissection is a rarely identified entity whose exact incidence, etiology, pathogenesis, medium-term evolution and optimal treatment have not yet been firmly estabilished. The cause of spontaneous disection remains unclear but theories of etiology include a medial eosinophilic angiitis, pregnancy induced degeneration of collagen and rupture of the vasovasoum. Most paients die suddenly, but a clinical spectrum is seen including and unstable angina, myocardial infarction and cardiogenic shock. We experienced 4 cases with spontaneous coronary artery dissection found angiographically which caused myocardial infarction and unstable angina. Our patients were treated medically.
