Journal de médecine vasculaire et de chirurgie

Abstrait

Spontaneous Coronary Dissection with Dissection of Ascending Aorta and Cardiac Tamponade

Ivan Stojanovic, Goran Ilic, Maja Stojanovic and Ivan Ilic

Spontaneous Coronary Artery Dissection (SCAD) is a rare but potentially lethal event. A 46-year-old woman presented to her local hospital at 11:30 pm with an abrupt onset of severe chest pain, which occur one hour before. Diagnosis of acute myocardial infarction non-STEMI was set. The autopsy as a direct cause of death revealed cardiac tamponade from a ruptured dissection of ascending aorta that start with a rupture of right coronary artery. Microscopic examination of coronary artery revealed that a rupture occurred on junction between normal and abnormal intima and thin subintimal-media layer, because of loose of collagen fibers. Our case confirmed association of primary coronary artery dissections with female sex. As a direct cause of primary coronary artery dissection we identified loose of collagen fibers in intimal and subintimal-media layer .