Endara Santiago A, Ayala Andres V, Davalos Gerardo A, Moscoso Juan, Montero R Alejandra
Division of Cardiothoracic Surgery, Department of Surgery, Hospital Metropolitano, Quito, Ecuador
Resident General Surgery, Universidad Internacional del Ecuador- Hospital Metropolitano, Quito, Ecuador.
J Surg Case Rep. 2013 Aug 29;2013(8):rjt058. doi: 10.1093/jscr/rjt058.
Spontaneous dissection of the coronary arteries is a rare disease with a wide range of clinical presentations ranging from angina to myocardial infarction (MI); its pathophysiology has not yet been fully established. In this paper, we present the case of a 31-year-old male with an acute coronary syndrome. The initial results of the electrocardiogram and cardiac enzymes were consistent with MI. However, a coronary angio-tomography revealed a dissection of the left main coronary artery and the patient underwent emergent surgery with coronary artery bypass grafting. The treatment of spontaneous dissection of the coronary arteries depends on the anatomical location and the patient's clinical presentation. Coronary revascularization is associated with good results.
冠状动脉自发夹层是一种罕见疾病，临床表现范围广泛，从心绞痛到心肌梗死（MI）不等；其病理生理学尚未完全明确。在本文中，我们报告了一例31岁急性冠状动脉综合征男性患者的病例。心电图和心肌酶的初始检查结果与心肌梗死相符。然而，冠状动脉血管断层扫描显示左主干冠状动脉夹层，该患者接受了紧急冠状动脉搭桥手术。冠状动脉自发夹层的治疗取决于解剖位置和患者的临床表现。冠状动脉血运重建术效果良好。
