Spontaneous coronary artery dissection in a young woman: from emergency coronary artery bypass grafting to heart transplantation

Details

Ressource 1Download: serval:BIB_64CD04CBEAC2.P001 (126.19 [Ko])
State: Public
Version: author
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_64CD04CBEAC2
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Spontaneous coronary artery dissection in a young woman: from emergency coronary artery bypass grafting to heart transplantation
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Ferrari  E., Tozzi  P., von Segesser  L. K.
ISSN
1010-7940 (Print)
Publication state
Published
Issued date
08/2005
Volume
28
Number
2
Pages
349-51
Notes
Case Reports
Journal Article --- Old month value: Aug
Abstract
Primary spontaneous coronary artery dissection (SCAD) as cause of acute myocardial infarction is a rare entity with complex pathophysiology. SCAD must be considered every time that a healthy young patient presents an onset of acute myocardial ischemic syndrome or sudden death. Mostly it appears in young women without traditional risk factors for coronary artery disease and a significant proportion of them are hutted during the peripartum or early postpartum period. SCAD is frequently fatal and a great number of known cases have been diagnosed at necroscopy. The quick recognition of SCAD as cause of acute myocardial ischemia in a young patient is important to establish the best medical/surgical treatment between the different therapeutic attitudes. We describe the case occurred to a young low cardiac risk woman who suffered of idiopathic SCAD and was successfully treated by heart transplantation few days after that a conventional surgical myocardial revascularization had been attempted. Waiting for cardiac transplantation the patient survived several days, thanks to a mechanical left ventricular assist device (LVAD). The following hospital course was uncomplicated. To our knowledge, this is the second case of SCAD treated successfully by LVAD and orthotopic heart transplantation reported in literature.
Keywords
Adult Aneurysm, Dissecting/*complications/radiography/surgery Cardiac Output, Low/etiology Coronary Aneurysm/*complications/radiography/surgery *Coronary Artery Bypass/methods Emergencies Female *Heart Transplantation/methods Humans Myocardial Infarction/etiology/radiography/surgery Shock, Cardiogenic/etiology Syndrome Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 9:16
Last modification date
25/09/2019 6:09
Usage data