Primary isolated dissection of the left anterior descending coronary artery
Montagne, O.; Pochmalicki, G.; Jan, F.; Boutouyrie, P.; Zelinski, R.; Aptecar, E.; Geschwind, H.
Archives des Maladies du Coeur et des Vaisseaux 85(2): 245-248
1992
ISSN/ISBN: 0003-9683 PMID: 1562229 Document Number: 402111
The authors report the case of a 30 year old Senegalese man admitted with an acute antero-septo-apical myocardial infarction which was fibrinolysed at the 5th hour. Coronary angiography showed dissection of the left anterior descending artery. This young patient with no previous medical history or cardiovascular risk factors had an abnormal skin biopsy showing proliferation of the elastic tissues. Eight months after the infarct the patient is asymptomatic and the appearances of dissection have disappeared. This case is original because the dissection occurred in a man, affecting the left anterior descending artery, with a good outcome after fibrinolysis (4th case), the angiographic regression of the arterial lesion and the possible pathogenetic mechanism of disease of elastic tissues.