Acute Isolated Coronary Artery Dissection Causing Massive Acute Myocardial Infarction and Leading to Unsuccessful Coronary Bypass, Extracorporeal Life Support, and Successful Cardiac Transplantation

Am J Cardiol. 2020 May 1;125(9):1446-1448. doi: 10.1016/j.amjcard.2020.01.034. Epub 2020 Feb 11.

Abstract

Described herein is a 42-year-old woman who suddenly developed a spontaneous isolated coronary arterial dissection which led to massive acute myocardial infarction with shock, unsuccessful coronary artery bypass grafting, transiently successful extracorporeal life support, and finally successful heart transplant. Such a sequence of events is exceedingly rare for patients with coronary dissection and prompted this report.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Coronary Artery Bypass
  • Coronary Vessel Anomalies / complications*
  • Extracorporeal Membrane Oxygenation
  • Female
  • Heart Transplantation*
  • Humans
  • Myocardial Infarction / etiology*
  • Myocardial Infarction / surgery*
  • Treatment Outcome
  • Vascular Diseases / complications
  • Vascular Diseases / congenital*

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous