Fournier J A, López-Pardo F, Fernández-Cortacero J A, Sánchez A
Servicio de Cardiologia, Unidad de Hemodinámica, Hospital Universitario Virgen del Rocio, Seville, Spain.
Eur Heart J. 1995 Jun;16(6):869-71. doi: 10.1093/oxfordjournals.eurheartj.a061010.
Spontaneous coronary artery dissection is a rare disease that occurs most commonly in young people, especially in peripartum or postpartum women. It has rarely been diagnosed during life and has never before been observed associated with any other non-ischaemic heart disease. We report a case associated with mitral stenosis, in which successful valvular and coronary surgery were carried out. We speculate whether rheumatic coronary arteritis was a cause of the dissection.
自发性冠状动脉夹层是一种罕见疾病，最常发生于年轻人，尤其是围产期或产后女性。生前很少被诊断出来，此前从未观察到它与任何其他非缺血性心脏病相关。我们报告一例与二尖瓣狭窄相关的病例，该病例成功实施了瓣膜和冠状动脉手术。我们推测风湿性冠状动脉炎是否是夹层的一个病因。
