iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. we report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. electrocardiography showed st elevation in leads v2-v4 and st depression in the inferior leads. lab data were normal. cardiac catheterization showed a suspicious thrombotic les...

spontaneous coronary artery dissection (scad) is a rare and important cause of acute coronary syndrome and sudden cardiac death. various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. scad is predominant in women and is usually diagnosed via coronary artery angiography. therapeutic interventions include medical th...

spontaneous coronary artery dissection (scad) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. this condition may occur particularly in women during late pregnancy and in the postpartum period. we present the case of a 33-year-old african american woman, who had spontaneous left anterior descending coronary artery (lad) dissection two weeks ...

Spontaneous coronary artery dissection, which causes acute coronary syndrome and can result in sudden death, is rare; but its true incidence is underestimated, since most patients die suddenly, without diagnosis. The aim of this study was to show the importance of prompt diagnosis and treatment. In reviewing the records of 5,000 consecutive patients who underwent coronary angiography between Ja...

Spontaneous coronary artery dissection is a rare cause of acute coronary events or sudden cardiac death. The clinical presentation is highly variable and prognosis varies widely, depending mainly on how rapidly it is diagnosed. Prompt treatment is also essential, and includes medical management, percutaneous coronary intervention and surgical revascularization. We describe the case of a young w...

dissection of the sinus of valsalva is a rare and life-threatening event. it often occurs during percutaneous coronary intervention in the right coronary artery (rca). dissection flap usually involves the rca and the right sinus of valsalva. here we report two extremely rare cases of spontaneous dissection limited to the non-coronary sinus of valsalva, causing severe aortic valve regurgitation:...

The large and multiple spontaneous coronary artery dissections of a 54-year-old man Coronary angiography demonstrated spiral dissection of right coronary artery (RCA) and of proximal and second diagonal branch the left descending coronary artery (LAD) (Figs. 1 and 2), and significant obstruction of the proximal segment of LAD. Revascularization was performed with LIMA to LAD and saphenous vein ...

A 52-year-old male underwent cardiac catheterization for abnormal stress test. Trans-radial coronary angiography revealed a severe proximal left anterior descending artery (LAD) lesion. LAD angioplasty was performed with two drug-eluting stents. This resulted in dissection of the proximal LAD, the circumflex artery and the left main coronary artery (LMCA) extending back into the coronary sinus....

Spontaneous coronary artery dissection is rare and usually affects younger women in the peripartum period. Here, we report an interesting case of a 34-year-old woman with spontaneous coronary artery dissection that occurred 1 month after childbirth. Emergency coronary angiography showed stenosis of the left anterior descending artery, but immediately afterwards, a new occlusion of the right cor...