Palank E A, Dawson J T, Cowen G D, Tysinger J R
Chest. 1977 Dec;72(6):774-6. doi: 10.1378/chest.72.6.774.
Coronary arterial dissection is extremely rare. Such dissections have been reported to occur secondary to atherosclerosis, trauma, the postpartum state, and cystic medial necrosis and to be iatrogenically induced during catheterization. The clinical picture of coronary arterial dissection is usually sudded death. A review of the literature reveals that our case is the second in which a spontaneous coronary arterial dissection has been diagnosed during life and documented by coronary arteriographic studies. This report describes a 31-year-old man who presented with an acute inferior myocardial infarction. Coronary arteriographic studies demonstrated a dissection of the right coronary artery.
冠状动脉夹层极为罕见。据报道，此类夹层继发于动脉粥样硬化、创伤、产后状态及囊性中层坏死，也可在导管插入术过程中因医源性因素诱发。冠状动脉夹层的临床表现通常为猝死。文献回顾显示，我们的病例是第二例在生前诊断出自发性冠状动脉夹层并经冠状动脉造影研究证实的病例。本报告描述了一名31岁男性，他因急性下壁心肌梗死就诊。冠状动脉造影研究显示右冠状动脉有夹层。
