Spontaneous coronary artery dissection, which causes acute coronary syndrome and can result in sudden death, is rare; but its true incidence is underestimated, since most patients die suddenly, without diagnosis. The aim of this study was to show the importance of prompt diagnosis and treatment.
In reviewing the records of 5,000 consecutive patients who underwent coronary angiography between January 2001 and August 2006, we found 6 cases of spontaneous coronary artery dissection (an incidence rate of 0.12%). Five patients presented with left main coronary artery dissection and 1 patient, with right coronary artery dissection.
Angioplasty with stenting failed in the patient with right coronary artery dissection. Coronary artery bypass surgery was performed in all patients. The patient with right coronary artery dissection died of sepsis on the 30th postoperative day. The other 5 patients (83.3%) are still free of symptoms, and they had negative results on stress tests at the 6- and 12-month follow-up visits after coronary artery bypass surgery.
The clinical presentation of spontaneous left main coronary artery dissection was similar to that of atherosclerotic disease. However, early diagnosis of spontaneous coronary artery dissection by means of coronary angiography is of paramount importance, because urgent coronary artery bypass grafting can be lifesaving.
Spontaneous coronary artery dissection (CAD), which causes acute coronary syndrome and can result in sudden death, is a rare event. Spontaneous coronary artery dissection has been observed in 3 groups of patients: patients with coronary artery disease, young women during peripartum, and patients with idiopathic disease and no obvious associated factors. The pathogenesis of spontaneous CAD is still unclear.1,2
The clinical presentation of left main coronary artery (LMCA) dissection may be similar to that of a patient with atherosclerotic disease of the LMCA. Early diagnosis and urgent coronary artery bypass grafting (CABG) is lifesaving in patients with LMCA dissection. In this retrospective study, we present an account of our management of spontaneous CAD, and we review the medical literature in order to investigate the potential causes and optimal treatments of this condition. [ ]
Unmanned aerial vehicles, popularly known as drones, are most often associated with airstrikes in modern warfare, but their history goes much further back than that. While drones came into the spotlight during the early years of the 21st century the idea of a remotely-operated flying machine was developed much earlier. A forerunner of what we […]
A total solar eclipse streaked across the United States Monday, Aug. 21. In its 70-mile-wide path, people saw the sun disappear behind the moon, turning daylight into darkness, with trails of light streaming through the sky around the silhouette of the moon.
Millions of people witnessed the historic spectacle as the eclipse traveled a path from Oregon to South Carolina. Chabad centers along its route hosted informative and inspirational programs to provide a Jewish perspective on the event.
The Art of Autism – “an international collaboration of talented individuals who have come together to display the creative abilities of people on the autism spectrum and others who are neurodivergent” (their words)
NT Speaks – an international collaboration in the spirit of light-hearted parody of “turning the tables” back on “puzzle-piece” organizations. Brand-new and being built by a handful of people who also have busy daytime schedules/work demands – but keep checking back!