Cocaine-Induced Coronary Artery Dissection

Spontaneous Coronary Artery Dissection.

Spontaneous coronary artery dissection (SCAD) is a non-traumatic and non-iatrogenic separation of the coronary artery wall that is now recognised as an important cause of myocardial infarction, especially in younger women. SCAD can be elusive on coronary angiography and clinician familiarity with non-pathognomonic angiographic SCAD variants and the use of intracoronary imaging will improve diag...

Spontaneous coronary artery dissection.

We present a case of a 43-year-old lady who presented with an acute coronary syndrome, but without any cardiac risk factors or previous cardiac symptoms, and who had a spontaneous coronary artery dissection. This was successfully treated with percutaneous coronary intervention. A brief discussion of this clinical entity and literature review is presented.

Cocaine-induced acute aortic dissection.

While cocaine-induced myocardial infarction has been frequently documented, the differential diagnosis of chest pain should include aortic pathology. The successful management of acute aortic dissection secondary to cocaine abuse has not been previously reported to our knowledge. In a 45-year-old man who presented with typical chest pain and wide mediastinum, the successful management of this d...

Catheter-Induced Spiral Dissection of the Left Main Coronary Artery

Dissection of Left Coronary Artery

*From the Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota. Supported in part by grants from the Public Health Service HE-5222 and 06314. this has not been reported during left heart catheterization. This report concerns a patient who developed acute myocardial infarction and severe left ventricular failure during diagnostic left heart catheterization. Inju...