Cardiovascular Surgery and Interventions 2014, Vol 1, Num 1 Page(s): 001-002
Ruptured spontaneous coronary artery dissection in a postmenopausal woman

Atike Tekeli Kunt,1 Serdar Akgün,2 Koray Ak,3 Selim İsbir,3 Sinan Arsan3

1Department of Cardiovascular Surgery, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
2Department of Cardiovascular Surgery, Bahçelievler Medicana Hospital, İstanbul, Turkey
3Department of Cardiovascular Surgery, Medical Faculty of Marmara University, İstanbul, Turkey

Keywords: Coronary artery; dissection; spontaneous; rupture
Spontaneous coronary artery dissection and rupture are extremely rare conditions. We report a 54-year-old postmenopausal female case of ruptured spontaneous coronary artery dissection who presented with severe chest pain. No electrocardiographic abnormalities were seen. Serum troponin level was normal. Although acute aortic dissection was suspected, contrast computed tomography revealed pericardial effusion. The patient was taken to catheterization laboratory for coronary angiography. Catheterization showed a ruptured spontaneous dissection of the left anterior descending artery without any other atherosclerotic lesions. She underwent coronary artery bypass grafting. Spontaneous coronary artery dissection and rupture should be kept in mind in differential diagnosis of chest pain.

DOI : 10.5606/e-cvsi.2014.143