Portal de Periódicos da CAPES

Spontaneous Coronary Artery Dissection Associated With Ascending Aortic Dystrophy: A Tear for Fear

2015; Elsevier BV; Volume: 31; Issue: 8 Linguagem: Inglês

10.1016/j.cjca.2015.02.024

1916-7075

Nicolas Amabile, Emmanuel Lansac, Christophe Caussin,

Aortic Disease and Treatment Approaches

A 36-year-old man with a recent history of surgery for an aortic valve ascending aortic aneurysm was admitted for non-ST-elevation myocardial infarction. Cardiac magnetic resonance imaging showed a limited necrotic lesion in the anterior wall. Coronary angiography showed no significant stenosis, but a mild distal dynamic tortuosity was seen on the left anterior descending artery. Optical coherence tomography analysis confirmed the absence of any significant atherosclerotic infiltration but revealed the presence of a localized short arterial dissection within the kinked zone. The patient was managed with a conservative medical approach. The subsequent evolution was uneventful.