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Spontaneous left main coronary artery dissection

^a Division of Cardiac Surgery, Department of Cardiovascular, San Filippo Neri Hospital, via Matteotti, n. 20, 00135-Rome, Italy
^b Division of Hemodynamic, Department of Cardiovascular, San Filippo Neri Hospital, Rome, Italy

*Corresponding author. Tel.: +39-06-33062381; fax: +39-06-33062333.

E-mail address: robertocini{at}fastwebnet.it (R. Cini).

Spontaneous coronary artery dissection is a rare and generally fatal disease. A review of the literature demonstrates that the aetiopathogenesis of the disease is unknown and that the histology is rarely described. It usually occurs in young women during the post-partum period or while taking oral contraceptives. The treatment depends on the clinical presentation and the results of the angiography. We report here a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory which which occurred in a 43-year-old woman.

Key Words: Coronary dissection; Estro-progestinic therapy; Surgical revascularization