Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente / Spontaneous coronary artery dissection: report of two cases
Rev. méd. Chile
;
144(2): 257-261, feb. 2016. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-779494
ABSTRACT
Spontaneous coronary artery dissection is a rare condition that usually causes a coronary syndrome, but may also cause sudden death. It is more common in women and is associated with factors such as the peripartum period and oral contraceptive use. We report two cases. A 45-year-old woman with hepatitis C, presenting in the emergency room with angina. An intravascular ultrasound showed a dissecting hematoma involving the left, anterior descending and circumflex coronary arteries. She was initially managed with nitroglycerin, anticoagulation and anti-platelet drugs but due to persistence of symptoms, she required surgical revascularization. A 32-year-old woman presenting in the emergency room with angina. A coronary angiogram revealed a dissection of the anterior descending coronary artery. Eight days later an intravenous ultrasound showed a retrograde progression of the dissection and she was subjected to a surgical revascularization.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Enfermedades Vasculares
/
Anomalías de los Vasos Coronarios
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2016
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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