Ahmed Said Abdirahman, Karataş Mesut, Öcal Lütfi, Mohamud Mohamed Abdullahi, Abdi Ishak Ahmed, Hassan Mohamed Omar
Mogadishu Somali Türkiye Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia.
Radiol Case Rep. 2022 Nov 2;18(1):246-249. doi: 10.1016/j.radcr.2022.10.001. eCollection 2023 Jan.
Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this syndrome. Here we present a 28-year-old male with 1 month history stroke but no any chronic disease as well family history of heart disease who presented with 2 days' duration of typical cardiac chest pain. Based on an emergency electrocardiogram that showed biphasic T-wave inversion with ST-elevation myocardial infarction, the patient was taken to the a catheterization laboratory(cath-lab), with the result of spontaneous coronary artery dissection of the left anterior dissenting artery with thrombolysis in myocardial infarction flow grade 0 and normal of other vessels. Then we successfully did angioplasty, and the patient was discharged with aspirin 100 mg 1 × 1, clopidogrel 75 mg 1 × 1, and rivaroxaban 20 mg 1 × 1.
自发性冠状动脉夹层被描述为一种壁内出血，它可使心外膜冠状动脉壁各层分离，伴或不伴有内膜撕裂。动脉粥样硬化、医源性损伤或外伤与该综合征无关。在此，我们报告一名28岁男性，有1个月的卒中病史，但无任何慢性疾病及心脏病家族史，因持续2天的典型心前区胸痛前来就诊。基于急诊心电图显示双相T波倒置伴ST段抬高型心肌梗死，该患者被送往导管室，结果显示左前降支动脉自发性冠状动脉夹层，心肌梗死溶栓血流分级为0级，其他血管正常。随后我们成功进行了血管成形术，患者出院时服用阿司匹林100毫克，每日1次，氯吡格雷75毫克，每日1次，利伐沙班20毫克，每日1次。
