Author/Editor		Starc, Radovan; Reschner, Hrvoje
Title		Disekcija venčne arterije kot vzrok AKS
Translated title		Spontaneous primary dissection of a coronary artery as a cause of ACS
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja 8. Zbornik 9. mednarodni simpozij o urgentni medicini; 2002 jun 19-22; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2002
Volume		str. 158-9
Language		slo
Abstract		The article deals with a 34 years old patient with acute coronary syndrome with ST elevation in ECG derivations D2 and D3. Troponine T was negative, CK enzyme 3,20 and MB 4,36. Coronary angiography revealed dissected left main stem and proximal left anterior descending artery. The dissection was demonstrated angiographically and the off pump aorto-coronary venous bypass graft operation was carried out (LAD and D1) instead of stenting or thrombolytic therapy. The patient was discharged 8 days after operation. The following consequences could be drawn from the reported case report: not all coronary artery occlusions are caused by a thrombus and atherosclerotic plaque; it is not possible to predict the nature of coronary stenosis without at least coronary angiography; spontaneously dissected coronary arteries are most frequently occluded and not subtotally narrowed as was the case in our patient. In a described case, thrombolytic therapy may have had a hazardous and harmful side effect.
Descriptors		CORONARY DISEASE CORONARY VESSELS DISSECTION CORONARY ANGIOGRAPHY ADULT