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Angiology
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*Atrial Fibrillation
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Reviews

Spontaneous Coronary Artery Dissection of the Left Circumflex Artery Causing Cardiac Tamponade and Presenting With Atrial Fibrillation: A Case Report and Review of the Literature

Christopher R. Hayes, MRCP

Hereford Hospital NHSTrust, Herefordshire, chrisruhayes{at}doctors.org.uk

Debbie Lewis, MRCP

Darent Valley Hospital NHS Trust, Dartford, Kent, United Kingdom

Spontaneous coronary artery dissection is rare. When it does occur, it can present in a myriad of ways and can mimic more common clinical scenarios. Undiagnosed it can be fatal. In this article, the authors present a case of coronary artery dissection in a middle aged man presenting as fast atrial fibrillation with hemodynamic compromise. He was unsuccessfully cardioverted and later arrested and died. Postmortem showed a ruptured dissection of the left circumflex artery causing cardiac tamponade and death. Incidence, associations, pathophysiology, investigations, and treatment options are reviewed.

This version was published on November 1, 2007

Angiology, Vol. 58, No. 5, 630-635 (2007)
DOI: 10.1177/0003319707304532
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