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Spontaneous Coronary Artery Dissection Mimicking Acute Aortic Dissection

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea, , ny0021{at}medimail.co.kr

Min-Kyu Kim, MD

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea

Eung Ju Kim, MD

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea

Woo Jung Park, MD

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea

Young Jin Choi, MD

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea

Chong Yun Rhim, MD

Department of Internal Medicine, Division of Cardiology, Hallym University Hangang, Sacred Heart Hospital, Yeoungdeungpo-gu, Seoul, South Korea

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome or sudden cardiac death, occurring predominantly in the female sex without cardiovascular risk factors. Although the etiology and pathogenesis remain uncertain, hypertension has not appeared to be one of the most important factors. This case report describes a patient with spontaneous coronary artery dissection in proximal Right coronary artery who presented the signs and symptoms of acute aortic dissection. The authors postulate that hypertension may have been an important factor for the pathogenesis of the spontaneous coronary artery dissection.

Key Words: right coronary artery • spontaneous dissection • hypertension

This version was published on July 1, 2008

Angiology, Vol. 59, No. 3, 382-384 (2008)
DOI: 10.1177/0003319707304324


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