Carell E S, Toole T C, Lachterman B, Krishnaswami A, Anderson H V
University of Texas Health Science Center, Houston, USA.
J Interv Cardiol. 1994 Oct;7(5):421-5. doi: 10.1111/j.1540-8183.1994.tb00479.x.
We report the case of a middle-aged female who presented with an acute inferior myocardial infarction treated with intravenous thrombolytics. Immediate coronary angiography demonstrated the presence of a spiral dissection and a large thrombus. After 1 week of anticoagulation the thrombus had resolved, but a large spiral dissection persisted. This was confirmed by intracoronary ultrasound. We then review the literature on spontaneous coronary arterial dissection.
