Rohit Manoj Kumar, Garg Pushpendra Kumar, Hariram Vuppaladadhiam, Gupta Anju, Grover Anil
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian Heart J. 2008 Jul-Aug;60(4):346-8.
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction. It is more commonly seen in the younger age group particularly in women. We report a case of 14-year-old boy that presented with acute myocardial infarction (MI), with left ventricular (LV) dysfunction and was detected to have left main coronary artery dissection on coronary angiography. Myocardial perfusion imaging did not show any evidence of reversible ischemia. Patient was managed conservatively and was marginally improved. This case highlights one of the rare causes of myocardial infarction and the use of myocardial perfusion imaging in selecting treatment options for management of this rare entity.
自发性冠状动脉夹层是急性心肌梗死的罕见病因。它更常见于较年轻的年龄组，尤其是女性。我们报告一例14岁男孩，表现为急性心肌梗死，伴有左心室功能障碍，冠状动脉造影显示左主干冠状动脉夹层。心肌灌注成像未显示任何可逆性缺血的证据。患者接受保守治疗，症状略有改善。该病例突出了心肌梗死的罕见病因之一，以及心肌灌注成像在选择治疗这种罕见疾病的治疗方案中的应用。
