Author/Editor		Ambrožič, Jana; Kariž, Stojan
Title		Spontana disekcija leve koronarne arterije - prikaz primera
Translated title		Spontaneous left main coronary artery dissection - a case report
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2003
Volume		str. 208-9
Language		slo
Abstract		Spontaneous coronary artery dissection is a rare entity that can present as acute myocardial infarction or sudden cardiac death. In such cases prompt diagnosis by coronary angiography and urgent revascularization is crucial for survival. Thrombolytic therapy may be harmful leading to expansion of an intramural hematoma. The etiology of spontaneous coronary artery dissection is unclear, but different pathogenesis is suspected. We report on a 66-year-old woman, admitted to the intensive care unit of a regional hospital with acute myocardial infarction. Initially she was treated with thrombolysis. On the next day acute pulmonary edema developed and the patient was referred for emergency coronary angiography. Dissection of the left main coronary artery was revealed with almost complete occlusion of the left anterior descending and circumflex artery. Aorto-coronary venous by-pass grafting was done successfully with a ligation of the dissection origin at the ostium of the left main coronary artery.
Descriptors		EMERGENCY SERVICE, HOSPITAL CORONARY ANEURYSM ANEURYSM, DISSECTING CORONARY ANGIOGRAPHY AGED CORONARY ARTERY BYPASS