Vacek J L, Phelix J, Dunn M
Cathet Cardiovasc Diagn. 1987 Mar-Apr;13(2):117-20. doi: 10.1002/ccd.1810130209.
Spontaneous coronary artery dissection is a rare event, felt to be caused by intimal disruption and formation of a false lumen in the vessel wall. Compression of the true lumen by intramural hematoma may result in obstruction to blood flow, myocardial ischemia, infarction, and ultimately, death. We report the first instance (to our knowledge) of survival in a man with spontaneous dissection of the left anterior descending coronary artery.
自发性冠状动脉夹层是一种罕见的病症,被认为是由血管内膜破裂和血管壁内假腔形成所致。壁内血肿对真腔的压迫可能导致血流受阻、心肌缺血、梗死,最终导致死亡。据我们所知,我们报告了首例左前降支冠状动脉自发性夹层男性患者存活的病例。