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Eur J Cardiothorac Surg 2001;20:573-576
© 2001 Elsevier Science NL

Review

Primary spontaneous coronary artery dissections in atherosclerotic patients. Report of nine cases with review of the pertinent literature

Atakalp Heart Hospital, 1418 Sok. No. 16 Kahramanlar 35000, Izmir, Turkey

Received 18 January 2001; received in revised form 26 May 2001; accepted 6 June 2001.

Corresponding author. Tel.: +90-232-483-1414 ext. 182; fax: +90-232-441-6766
e-mail: sekipcelik{at}turk.net

Primary spontaneous coronary artery dissection is one of the rare causes of acute myocardial infarction. Previous studies reports that it is mostly seen in middle aged women in the last trimester of pregnancy and early postpartum period. Clinical presentation of the disease is variable in pattern and severity related to extent and development rate of dissection. In the last 2 years, nine non-pregnant primary spontaneous coronary artery dissection cases were found in coronary angiography among 3750 patients prediagnosed as coronary artery disease. The cases were presented and discussed with review of the pertinent literature.

Key Words: Atherosclerosis • Coronary artery • Surgery • Dissection

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