RESUMO
Spontaneous coronary dissection usually occurs in middle-aged women, during pregnancy and postpartum. Proposed management strategies are most often based on invasive procedures such as percutaneous transluminal intervention with stenting, or surgical revascularization. We report a case of coronary dissection of the main stem artery occurring after intensive exercise, showing a rapid regression under conservative medical treatment. This case and the review of the literature emphasize that in case of non-occlusive coronary dissection, a conservative approach with a careful follow-up may be a strategy to consider.
Assuntos
Angioplastia Coronária com Balão/efeitos adversos , Pericardite/etiologia , Doença das Coronárias/terapia , Inibidores de Ciclo-Oxigenase/uso terapêutico , Stents Farmacológicos , Ecocardiografia , Eletrocardiografia , Humanos , Ibuprofeno/uso terapêutico , Masculino , Pessoa de Meia-Idade , Pericardite/tratamento farmacológicoRESUMO
Hypertension, wall thinning and aortic enlargement are the most important factors increasing wall stress and causing aortic aneurysms to rupture. Computed tomography, especially with contrast image enhancement, usually shows the aortic anatomy with great clarity and distinguishes a ruptured aortic aneurysm from an acute aortic syndrome.
