Spontaneous Left Main Coronary Artery Dissection Presenting with Acute Myocardial Infarction in an Elderly Male: A Clue from the Collateral Flow

AuthorSung Woo Choen
AuthorByung Gyu Kimen
AuthorJong Chun Nahen
OrcidSung Woo Cho [0000-0003-3983-817X]en
OrcidByung Gyu Kim []en
OrcidJong Chun Nah [0000-0003-3983-817X]en
Issued Date2019-06-30en
AbstractSpontaneous Coronary Artery Dissection (SCAD) is a rare cause of Acute Myocardial Infarction (AMI), which usually occurs in young or middle-aged healthy females. Here, we reported a 62-year-old male having SCAD in the Left Main Coronary Artery (LMCA) presenting with AMI. In this case, we could diagnose a spontaneous LMCA dissection with the help of contrast dye staining at the end of the collateral flow from the Right Coronary Artery (RCA). Even a small amount of contrast dye staining at the end of the collateral flow from the RCA provides an important clue for suspecting spontaneous LMCA dissection. Meticulous catheter manipulation should be required in such cases to prevent the extension of iatrogenic catheter-dissection during the procedure.en
DOIhttps://doi.org/en
KeywordSpontaneous Coronary Arteryen
KeywordDissectionen
KeywordCoronary Arteryen
KeywordCollateral Circulationen
PublisherBrieflandsen
TitleSpontaneous Left Main Coronary Artery Dissection Presenting with Acute Myocardial Infarction in an Elderly Male: A Clue from the Collateral Flowen
TypeCase Reporten

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