open access

Vol 13, No 1 (2018)
Case Reports
Published online: 2018-03-22
Get Citation

Acute coronary syndrome in 16-year-old boy: case report

Santosh Kumar Sinha, Puneet Kumar, Karandeep Singh, Mahmadula Razi, Ramesh Thakur, Chandra Mohan Varma, Umeshwar Pandey
DOI: 10.5603/FC.2018.0008
·
Folia Cardiologica 2018;13(1):47-50.

open access

Vol 13, No 1 (2018)
Case Reports
Published online: 2018-03-22

Abstract

Spontaneous coronary artery dissection is a rare but important cause of acute coronary syndromes in young patients.
16-year-old boy presented as acute anterior wall myocardial infarction for which he was thrombolysed. Coronary angiogram
showed spiral luminal filling defects, with extensive contrast staining of proximal left anterior descending artery
and its branches. The patient refused angioplasty, which was advised, and was managed conservatively. Three weeks
later he presented with acute coronary syndrome with unstable angina. Repeated angiogram showed complete healing
of dissection. The hospital course of the patient was uncomplicated. This shows, that sometimes higher grade dissection
beside intervention, can respond to conservative management as well.

Abstract

Spontaneous coronary artery dissection is a rare but important cause of acute coronary syndromes in young patients.
16-year-old boy presented as acute anterior wall myocardial infarction for which he was thrombolysed. Coronary angiogram
showed spiral luminal filling defects, with extensive contrast staining of proximal left anterior descending artery
and its branches. The patient refused angioplasty, which was advised, and was managed conservatively. Three weeks
later he presented with acute coronary syndrome with unstable angina. Repeated angiogram showed complete healing
of dissection. The hospital course of the patient was uncomplicated. This shows, that sometimes higher grade dissection
beside intervention, can respond to conservative management as well.

Get Citation

Keywords

spontaneous coronary artery dissection, thrombolysis, unstable angina

About this article
Title

Acute coronary syndrome in 16-year-old boy: case report

Journal

Folia Cardiologica

Issue

Vol 13, No 1 (2018)

Pages

47-50

Published online

2018-03-22

DOI

10.5603/FC.2018.0008

Bibliographic record

Folia Cardiologica 2018;13(1):47-50.

Keywords

spontaneous coronary artery dissection
thrombolysis
unstable angina

Authors

Santosh Kumar Sinha
Puneet Kumar
Karandeep Singh
Mahmadula Razi
Ramesh Thakur
Chandra Mohan Varma
Umeshwar Pandey

References (9)
  1. B. F.Waller, Hurst’s the Heart, chapter 47, Indiana University, Indianapolis, Ind, USA,11th edition.
  2. Huber MS, Mooney JF, Madison J, et al. Use of a morphologic classification to predict clinical outcome after dissection from coronary angioplasty. Am J Cardiol. 1991; 68(5): 467–471.
  3. Savage M, Dischman D, Bailey S, et al. Vascular remodelling of balloon-induced dissection: Long-term angiographic assessment. J Am Coll Cardiol. 1995; 25: 135A.
  4. Zampieri P, Aggio S, Roncon L, et al. Follow up after spontaneous coronary artery dissection: a report of five cases. Heart. 1996; 75(2): 206–209.
  5. Oka S, Manabe K, Gondo H, et al. A Case of Acute Myocardial Infarction Due to Primary Coronary Dissection. Jpn Circ J. 1997; 61(11): 954–957.
  6. Butler R, Webster MWI, Davies G, et al. Spontaneous dissection of native coronary arteries. Heart. 2005; 91(2): 223–224.
  7. Buys EM, Suttorp MJ, Morshuis WJ, et al. Extension of a spontaneous coronary artery dissection due to thrombolytic therapy. Cathet Cardiovasc Diagn. 1994; 33(2): 157–160.
  8. Behnam R, Tillinghast S. Thrombolytic therapy in spontaneous coronary artery dissection. Clin Cardiol. 1991; 14(7): 611–614.
  9. Cheung S, Mithani V, Watson R. Healing of spontaneous coronary dissection in the context of glycoprotein IIB/IIIA inhibitor therapy: A case report. Catheter Cardiovasc Interv. 2000; 51(1): 95–100, doi: 10.1002/1522-726x(200009)51:1<95::aid-ccd22>3.0.co;2-m.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl