Spontaneous Coronary Dissection Of The Left Main Stem After Intense Physical Activity—regression Under Conservative Strategy
Marijon, E., Fressonnet, R., Haggui, A., Mousseaux, E., & Redheuil, A. (2008). spontaneous coronary dissection of the left main stem after intense physical activity--regression under conservative strategy. International journal of cardiology, 128(1), e16–e18. https://doi.org/10.1016/j.ijcard.2007.04.157
View Original Source →Case Details
Disease Location
Heart
Personal Characteristics
25 years old cameroon-born man. No prior medical history. No familiar history of heart disease. No coronary risk factors and no drug use
Clinical Characteristics
Substernal chest pain radiating to both scapulas. Normal pshysical examination, regular sinus rhythm. Coronary dissection of the main stem artery.
Remission Characteristics
6 weeks after diagnoses, control showed almost complete angiographic healing of the artery dissection with only a mild impression on the coronary lumen.
Treatment & Mechanisms
Proposed Remission Mechanisms
Spontaneous healing
Clinical Treatment
Anti-thrombotic therapy (aspirin and heparin). Conservative therapeutic approach, treatment by aspirin, clopidogrel, etenolol and enalapril.