Spontaneous coronary artery dissection: concerning a case

Authors

  • Oelnis Consuegra-Espinosa Universidad de Ciencias Médicas de Villa Clara. Cardiocentro Ernesto Che Guevara. Servicio de Hemodinámica y Cardiología Intervencionista. Villa Clara, Cuba. https://orcid.org/0000-0003-2878-1729
  • Álvaro Álvarez-Sánchez Universidad de Ciencias Médicas de Camagüey. Hospital Universitario Amalia Simoni Argilagos. Servicio de Medicina Interna. Camagüey, Cuba. https://orcid.org/0000-0003-3950-2991
  • Amílcar Ramírez-Morejón Universidad de Ciencias Médicas de Camagüey. Departamento de Clínica Médica. Camagüey, Cuba. https://orcid.org/0000-0002-1331-0476
  • Lester Andy León-Monagas Universidad de Ciencias Médicas de Villa Clara. Cardiocentro Ernesto Che Guevara. Servicio de Hemodinámica y Cardiología Intervencionista. Villa Clara, Cuba. https://orcid.org/0000-0001-5655-1475
  • Marilyn Ramírez-Méndez Universidad de Ciencias Médicas de Villa Clara. Hospital Universitario Celestino Hernández Robau. Servicio de Terapia Intensiva. Villa Clara, Cuba. https://orcid.org/0000-0002-1495-6770

Abstract

Background: the spontaneous coronary artery dissection causes an acute myocardial infarction.
Objective: to present the case of a patient suffering from spontaneous coronary artery dissection, this causes an acute myocardial infarction.
Case report: a 55 years old, white, female patient with antecedents of essential systodiastolic systemic arterial hypertension stage I, overweight. Related to a physical effort, the patient begins complaining of an oppressive pre-cordial pain with typical characteristics of coronary illness. After the performance of cardiac biomarkers, electrocardiographic and imaging studies was diagnosed a non ST segment elevation acute coronary syndrome type Q, Killip Kimball I acute myocardial infarction; after that a corona-graphic study was carried out with a diagnostic of spontaneous coronary dissection, and it was decided a conservative treatment, with a good recovery.
Conclusions: the spontaneous coronary artery dissection, although infrequently, is cause of acute myocardial infarction. Its clinical presentation can be similar to an acute coronary syndrome caused by an atherosclerotic coronary artery disease. The coronary angiography is a valuable test for the diagnosis. As it is the case we can choose between a conservative, endovascular with stent placement treatment or surgical treatment.

DeCS: ACUTE CORONARY SYNDROME/diagnosis; ACUTE CORONARY SYNDROME/drug therapy; MYOCARDIAL INFARCTION; CASE REPORTS; DIAGNOSTIC TECHNIQUES AND PROCEDURES.

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Published

2021-11-13

How to Cite

1.
Consuegra-Espinosa O, Álvarez-Sánchez Álvaro, Ramírez-Morejón A, León-Monagas LA, Ramírez-Méndez M. Spontaneous coronary artery dissection: concerning a case. Arch méd Camagüey [Internet]. 2021 Nov. 13 [cited 2025 Aug. 8];25(6):926-37. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/8003

Issue

Vol. 25 No. 6 (2021)

Section

Case Reports

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