Cor Vasa 2010, 52(10):635-638 | DOI: 10.33678/cor.2010.162
Spontaneous coronary artery dissection as the cause of acute STEMI in a young female
- Oddělení kardiologie, Kardiocentrum, Nemocnice Podlesí, a. s., Třinec, Česká republika
Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes that is burdened with a relatively high mortality. It occurs more frequently in younger women without the presence of risk factors for atherosclerosis. In the diagnosis of the disease, it is essential to perform coronary angiography or intravascular ultrasound. Its pathophysiology is not exactly known and optimal therapeutic strategy has not been established. We report the case of a young woman with an acute STEMI based on the presence of spontaneous left coronary artery dissection. Despite immediate revascularization, there was severe left ventricular dysfunction and acute heart failure requiring the implantation of a left ventricular assist device followed by heart transplantation.
Keywords: Spontaneous coronary artery dissection; Coronary angiography; Intravascular ultrasound; Left ventricular assist device
Published: October 1, 2010 Show citation
References
- Arnold JR, West NE, Gaal WJ, et al. The role of intravascular ultrasound in management of spontaneus coronary artery dissection. Cardiovasc Ultrasound 2008;6:24.
Go to original source... 
Go to PubMed... - Dhawan R, Singh G, Fesniak H. Spontaneous coronary artery dissection: the clinical spectrum. Angiology 2002;53:89-93. Go to original source... Go to PubMed...
- Shamloo BK, Chintala RS, Nasur A, et al. Spontaneous coronary artery dissection: aggressive vs. conservative therapy. J Invasive Cardiol 2010;22: 222-228. Go to PubMed...
- Slight R, Behranwala AA, Nzewi O, et al. Spontaneous coronary artery dissection: a report of two cases occurring during menstruation. N Z Med J 2004;117:U585.
- Coufal Z, Gřiva M, Slabák M, et al. Opakovaná spontánní disekce koronární tepny (SCAD) u mladé ženy. Interv Akut Kardiol 2006;3:135-138.
- Kamran M, Guptan A, Bogal M. Spontaneous coronary artery dissection: Case series and review. J Invasive Cardiol 2008;20:553-559. Go to PubMed...
- Kovárník T, Horák J, Aschermann M, Linhart A. Možnosti intravaskulárního ultrazvuku a virtuální histologie při vedení koronárních intervencí. Cor Vasa 2009;51(Suppl 1):32-39. Go to original source...
- Pavolko M, Vojtíšek P, Herman A, et al. Intramurální hematom levé věnčité tepny. Interv Akut Kardiol 2009;8:260-263.
- Škvařilová M, Lukl J, Bulava A, et al. Spontánní disekce věnčité tepny. Cor Vasa 2004;46:76-79.
- Kettner J, Pirk J, Netuka I, et al. Mechanical cardiac support - The first use in Czech Republic. Čas Lék Čes 2005;144:38-42.
- Ganesh S, Kumpati P, McCarthy M, et al. Left ventricular assist devices for severe cardiac failure. The Fifth International Conference on Circulatory Support Devices for Severe Cardiac Failure, New York, NY, Sept 15-17, 2000.
- Frazier OH, Benedict CR, Radovancevic B, et al. Improved ventricular function after chronic left ventricular unloading. Ann Thorac Surg 1996;62:675-682. Go to original source...
- Burkhoff D, Holmes JW, Madigan J, Barbone A, Oz MC. Left ventricular assist device-induced reverse ventricular remodeling. Prog Cardiovasc Dis 2000;43:19-26. Go to original source... Go to PubMed...
- Nishimura M, Radovancevic B, Odegaard P, et al. Exercise capacity recovers slowly but fully in patients with a left ventricular assist device. ASAIO J 1996;42:M568-M570. Go to original source... Go to PubMed...
- Segura M, Frasier H, Buja M. Histological markers of myocardial improvement during left ventricular assist device support. Circulation 2008;118:799-800.