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International Cardiovascular Research Journal

An annual journal in scientific affiliation with the Cardiovascular Research Center, Shiraz University of Medical Sciences

e-ISSN 2251-9149
p-ISSN 2251-9130
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Cover image of the article: Spontaneous Left Main Coronary Artery Dissection Presenting with Acute Myocardial Infarction in an Elderly Male: A Clue from the Collateral Flow

Image Credit:Int Cardiovasc Res J

Outline

Spontaneous Left Main Coronary Artery Dissection Presenting with Acute Myocardial Infarction in an Elderly Male: A Clue from the Collateral Flow

Authors

Sung Woo ChoSung Woo Cho ORCID1, Byung Gyu Kim1, Jong Chun NahJong Chun Nah ORCID1,*
1Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Korea
*Corresponding Author: Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Korea, Tel: + 822-2270-0010, E-mail: drnah1970@hanmail.net Email: drnah1970@hanmail.net
International Cardiovascular Research Journal:Vol. 13, issue 2; 75-77
Published online:Jun 30, 2019
Article type:Case Report
Received:Jun 19, 2018
Accepted:Mar 11, 2019
How to Cite:Cho SW, Kim BG, Nah JC. Spontaneous Left Main Coronary Artery Dissection Presenting with Acute Myocardial Infarction in an Elderly Male: A Clue from the Collateral Flow. Int Cardiovasc Res J. 2019;13(2):e83466. doi:

Abstract

Spontaneous Coronary Artery Dissection (SCAD) is a rare cause of Acute Myocardial Infarction (AMI), which usually occurs in young or middle-aged healthy females. Here, we reported a 62-year-old male having SCAD in the Left Main Coronary Artery (LMCA) presenting with AMI. In this case, we could diagnose a spontaneous LMCA dissection with the help of contrast dye staining at the end of the collateral flow from the Right Coronary Artery (RCA). Even a small amount of contrast dye staining at the end of the collateral flow from the RCA provides an important clue for suspecting spontaneous LMCA dissection. Meticulous catheter manipulation should be required in such cases to prevent the extension of iatrogenic catheter-dissection during the procedure.

Highlights

KeywordsSpontaneous Coronary ArteryDissectionCoronary ArteryCollateral Circulation

Fulltext

 
 
The full text is available in PDF.
 
Video 1. Right Coronary Angiography Showing a Collateral Flow toward the Left Anterior Descending Artery and Contrast Dye Staining at the End of the Collateral Flow, Which Was Suspicious of Spontaneous Left Main Coronary Artery Dissection.
Video 1: https://services.brieflands.com/cdn/serve/314b2/891414b033302e67bf3053196b5a7ea6115516c9/Movie%20S1.avi
Video 2. Intravascular Ultrasound Showing a Soft Atherosclerotic Plaque at the Proximal Left Anterior Descending Artery and a Dissection Flap and False Lumen with Intramural Hematoma at the Left Main Coronary Artery.
 
Video 2: https://services.brieflands.com/cdn/serve/314b2/540c0f4038c5eeea1d48a395245402e8509787c5/Movie%20S2.avi
 

References

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    The references are available in PDF.

Copyright

© 2019, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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