A rare case of idiopathic spontaneous coronary artery dissection causing acute myocardial infarction

J Cardiovasc Med (Hagerstown). 2008 Mar;9(3):308-10. doi: 10.2459/JCM.0b013e3280117079.


Spontaneous coronary artery dissection is a rare clinical event and often a fatal cause of ischaemic heart disease occurring predominantly in young or middle-aged otherwise healthy patients. We present the case of a 59-year-old female patient who was admitted to our coronary care unit with acute anterior myocardial infarction. Coronary angiography showed a long dissection involving the left coronary artery. Emergency coronary artery bypass grafting was performed unsuccessfully.

Publication types

  • Case Reports

MeSH terms

  • Aortic Dissection / complications*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / surgery
  • Coronary Angiography
  • Coronary Artery Bypass / methods
  • Diagnosis, Differential
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / etiology*
  • Myocardial Infarction / surgery
  • Rare Diseases