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Left main dissection and thrombosis in a young athlete
L Todd Justice1, Kent Dauterman, Nicholas G Smedira
1Division of Cardiovascular Medicine and the Gill Heart Institute, University of Kentucky, Lexington, KY 40536-0200, USA.
Cardiology in Review
|August 18, 2005
Summary
Spontaneous coronary artery dissection (SCAD) is rare. A healthy 38-year-old man experienced myocardial infarction due to left main coronary artery dissection and thrombosis, successfully treated with bypass surgery.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Spontaneous coronary artery dissection (SCAD) is an uncommon cause of myocardial infarction.
- It typically affects younger women but can occur in any demographic.
Observation:
- A previously healthy 38-year-old male presented with severe chest discomfort during strenuous exercise.
- Diagnosis revealed acute anterolateral myocardial infarction and left main coronary artery thrombosis.
Findings:
- Coronary angiography confirmed acute thrombosis and a dissection flap in the left main coronary artery.
- Surgical intervention via bypass grafting was performed.
Implications:
- This case highlights SCAD as a potential cause of myocardial infarction in young, healthy males.
- Prompt surgical management can lead to favorable outcomes in complex SCAD cases involving the left main coronary artery.
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