Abstract

SONQUI SOTO, José Pablo et al. Spontaneous left main coronary artery dissection as a cause of myocardial infarction in a young man. Cardiovasc. metab. sci [online]. 2021, vol.32, n.3, pp.132-137.  Epub Apr 05, 2024. ISSN 2954-3835.  https://doi.org/10.35366/101306.

In the last decade, spontaneous coronary artery dissection has been recognized as a common cause of acute myocardial infarction and cardiac death. There is a combination of several predisposing factors that can influence and increase susceptibility to develop this pathology. We present the clinical case of a young patient of Chinese origin, who developed spontaneous coronary artery dissection of rare location and angiographic findings of the ascending aorta, which are considered to have been involved in its evolution. Treatment of the patient was timely and successful with percutaneous coronary intervention; however, he developed severe complications within the following 24 hours with hemodynamic and electrical instability that led to a fatal outcome.

Keywords : SCAD; PCI; CABG; Takayasu; sudden cardiac death.

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