Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente

Spontaneous coronary artery dissection is a rare condition that usually causes a coronary syndrome, but may also cause sudden death. It is more common in women and is associated with factors such as the peripartum period and oral contraceptive use. We report two cases. A 45-year-old woman with hepat...

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Autores principales:	Muñoz C,Cecilia, Perelli S,Javiera, Robert B,Sebastián, Lindefjeld,Dante, Zalaquett S,Ricardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Acute coronary syndrome Coronary artery bypass grafting (CABG) Percutaneous coronary intervention Spontaneous coronary artery dissection
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200016
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spelling	oai:scielo:S0034-988720160002000162016-04-13Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamenteMuñoz C,CeciliaPerelli S,JavieraRobert B,SebastiánLindefjeld,DanteZalaquett S,Ricardo Acute coronary syndrome Coronary artery bypass grafting (CABG) Percutaneous coronary intervention Spontaneous coronary artery dissection Spontaneous coronary artery dissection is a rare condition that usually causes a coronary syndrome, but may also cause sudden death. It is more common in women and is associated with factors such as the peripartum period and oral contraceptive use. We report two cases. A 45-year-old woman with hepatitis C, presenting in the emergency room with angina. An intravascular ultrasound showed a dissecting hematoma involving the left, anterior descending and circumflex coronary arteries. She was initially managed with nitroglycerin, anticoagulation and anti-platelet drugs but due to persistence of symptoms, she required surgical revascularization. A 32-year-old woman presenting in the emergency room with angina. A coronary angiogram revealed a dissection of the anterior descending coronary artery. Eight days later an intravenous ultrasound showed a retrograde progression of the dissection and she was subjected to a surgical revascularization.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.2 20162016-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200016es10.4067/S0034-98872016000200016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Acute coronary syndrome Coronary artery bypass grafting (CABG) Percutaneous coronary intervention Spontaneous coronary artery dissection
spellingShingle	Acute coronary syndrome Coronary artery bypass grafting (CABG) Percutaneous coronary intervention Spontaneous coronary artery dissection Muñoz C,Cecilia Perelli S,Javiera Robert B,Sebastián Lindefjeld,Dante Zalaquett S,Ricardo Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
description	Spontaneous coronary artery dissection is a rare condition that usually causes a coronary syndrome, but may also cause sudden death. It is more common in women and is associated with factors such as the peripartum period and oral contraceptive use. We report two cases. A 45-year-old woman with hepatitis C, presenting in the emergency room with angina. An intravascular ultrasound showed a dissecting hematoma involving the left, anterior descending and circumflex coronary arteries. She was initially managed with nitroglycerin, anticoagulation and anti-platelet drugs but due to persistence of symptoms, she required surgical revascularization. A 32-year-old woman presenting in the emergency room with angina. A coronary angiogram revealed a dissection of the anterior descending coronary artery. Eight days later an intravenous ultrasound showed a retrograde progression of the dissection and she was subjected to a surgical revascularization.
author	Muñoz C,Cecilia Perelli S,Javiera Robert B,Sebastián Lindefjeld,Dante Zalaquett S,Ricardo
author_facet	Muñoz C,Cecilia Perelli S,Javiera Robert B,Sebastián Lindefjeld,Dante Zalaquett S,Ricardo
author_sort	Muñoz C,Cecilia
title	Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
title_short	Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
title_full	Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
title_fullStr	Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
title_full_unstemmed	Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
title_sort	disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200016
work_keys_str_mv	AT munozccecilia diseccioncoronariaespontaneacomunicacionde2casostratadosquirurgicamente AT perellisjaviera diseccioncoronariaespontaneacomunicacionde2casostratadosquirurgicamente AT robertbsebastian diseccioncoronariaespontaneacomunicacionde2casostratadosquirurgicamente AT lindefjelddante diseccioncoronariaespontaneacomunicacionde2casostratadosquirurgicamente AT zalaquettsricardo diseccioncoronariaespontaneacomunicacionde2casostratadosquirurgicamente
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Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente

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