A Young Woman Case of Acute Coronary Syndrome Caused by Extensive Coronary Intramural Hematoma with Hyperthyroidism

2012 ◽  
Vol 4 (3) ◽  
pp. 200-207
Author(s):  
Toshimitsu Takagi ◽  
Yuki Horita ◽  
Naoto Tama ◽  
Hidenobu Terai ◽  
Isao Inoki ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Woman ◽  
Intramural Hematoma ◽  
Coronary Syndrome

scholarly journals Modern Concepts of Fibromuscular Dysplasia of the Coronary Arteries

2019 ◽  
Vol 15 (3) ◽  
pp. 431-438
Author(s):  
E. L. Trisvetova
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Arteries ◽  
Fibromuscular Dysplasia ◽  
Clinical Manifestations ◽  
Intramural Hematoma ◽  
Vascular Wall ◽  
Vascular Lesion ◽  
Diagnostic Methods ◽  
International Consensus ◽  
Coronary Syndrome

Fibromuscular dysplasia of the coronary arteries is a rare non-atherosclerotic and non-inflammatory vascular lesion that is asymptomatic until serious complications develop: stenosis, dissection, rupture, sudden cardiac death. Since there are no long-term numerous clinical observations of patients with fibromuscular dysplasia of the coronary arteries, recommendations have not been developed for diagnosing and treating the disease, which often manifests with acute coronary syndrome. In 2014, the European Consensus was published, and in 2019, the first international consensus document on the diagnosis and treatment of fibromuscular dysplasia with lesions of vessels from different regions (renal, cerebrovascular, coronary, and others). The documents state that the development of fibromuscular dysplasia of the coronary arteries considers the participation of the PHACTR1 gene mutation and the transcriptional activity of the EDN1 gene, smoking, prolonged exertion of the vascular wall, and possibly female sex hormones. In the case of acute coronary syndrome, the most informative diagnostic method is computed tomography with angiography, which reveals a smooth narrowing of the lumen in the middle or distal section in the epicardial artery, often due to intramural hematoma, and also finds dissection, spasm, and tortuous vessel. Additional diagnostic methods ‒ intravascular ultrasound and optical coherence tomography allow differentiation of fibromuscular dysplasia with atherosclerosis of the coronary artery, vasculitis, and other diseases. The choice of treatment tactics for fibromuscular dysplasia of the coronary arteries depends on the severity of the clinical manifestations ‒ conservative medical treatment and interventional methods are used.

scholarly journals Acute coronary syndrome in a young woman with antithrombin III deficiency

2013 ◽  
Vol 7 (4) ◽  
pp. e101-e103 ◽  
Author(s):  
Nada Fennich ◽  
Akhbour Salwa ◽  
Bouzamour Nadia ◽  
Oukerraj Latifa ◽  
Zarzur Jamila ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Woman ◽  
Antithrombin Iii ◽  
Coronary Syndrome ◽  
Antithrombin Iii Deficiency

scholarly journals Acute Coronary Syndrome due to Intramural Hematoma

Circulation ◽  
2006 ◽  
Vol 114 (25) ◽  
Author(s):  
Hisanori Fujikura ◽  
Yoshiki Hata ◽  
Yoshihiro Morino ◽  
Atsushi Matsuzaki ◽  
Keiko Oikawa ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Intramural Hematoma ◽  
Coronary Syndrome

scholarly journals A Novel Computed Tomography-Based Imaging Approach for Etiology Evaluation in Patients With Acute Coronary Syndrome and Non-obstructive Coronary Angiography

2021 ◽  
Vol 8 ◽  
Author(s):  
Runjianya Ling ◽  
Lihua Yu ◽  
Zhigang Lu ◽  
Yuehua Li ◽  
Jiayin Zhang
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Angiography ◽  
Intramural Hematoma ◽  
Final Analysis ◽  
Microvascular Dysfunction ◽  
Diagnostic Value ◽  
Side Branch ◽  
Dynamic Ct ◽  
Coronary Syndrome ◽  
Plaque Disruption

Objective: This study sought to investigate the diagnostic value of dynamic CT myocardial perfusion imaging (CT-MPI) combined with coronary CT angiography (CCTA) in acute coronary syndrome (ACS) patients without obstructive coronary angiography.Methods: Consecutive ACS patients with normal or non-obstructive coronary angiography findings who had cardiac magnetic resonance (CMR) contraindications or inability to cooperate with CMR examinations were prospectively enrolled and referred for dynamic CT-MPI + CCTA + late iodine enhancement (LIE). ACS etiology was determined according to combined assessment of coronary vasculature by CCTA, quantified myocardial blood flow (MBF) and presence of LIE.Results: Twenty two patients were included in the final analysis. CCTA revealed two cases of side branch occlusion and one case of intramural hematoma which were overlooked by invasive angiography. High risk plaques were observed in 6 (27.3%) patients whereas myocardial ischemia was presented in 19 (86.4%) patients with varied extent and severity. LIE was positive in 13 (59.1%) patients and microvascular obstruction was presented in three cases with side branch occlusion or spontaneous intramural hematoma. The specific etiology was identified in 20 (90.9%) patients, of which the most common cause was cardiomyopathies (41%), followed by microvascular dysfunction (14%) and plaque disruption (14%).Conclusion: Dynamic CT-MPI + CCTA was able to reveal the potential etiologies in majority of patients with ACS and non-obstructive coronary angiography. It may be a useful alternative to CMR for accurate etiology evaluation.

scholarly journals Coronary Intramural Hematoma Presenting as Acute Coronary Syndrome

2016 ◽  
Vol 55 (15) ◽  
pp. 2025-2029 ◽  
Author(s):  
Takenobu Shimada ◽  
Kazushige Kadota ◽  
Shunsuke Kubo ◽  
Seiji Habara ◽  
Kazuaki Mitsudo
Keyword(s):  
Acute Coronary Syndrome ◽  
Intramural Hematoma ◽  
Coronary Syndrome

scholarly journals Acute coronary syndrome in a young woman with a giant coronary aneurysm and mitral valve prolapse: a case report and literature review

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199952
Author(s):  
Xiaoyan Jiang ◽  
Jiamin Li ◽  
Xuehua Zhang ◽  
Han Chen
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Young Woman ◽  
Mitral Valve Prolapse ◽  
Artery Aneurysm ◽  
Coronary Aneurysm ◽  
Coronary Syndrome ◽  
Giant Coronary Aneurysm

Acute coronary syndrome in the young population is infrequently seen and has a different etiology from that in the elderly population. Giant coronary artery aneurysms are rare and usually asymptomatic, but they can cause acute clinical symptoms such as chest pain or chest tightness. We herein describe a young woman with a history of mitral valve prolapse who developed sudden-onset chest pain. She had mild elevations of her creatine kinase and cardiac troponin levels; however, no ST segment alteration was found on an electrocardiogram, and no abnormal regional wall movement was noted on echocardiography. Cardiac magnetic resonance imaging with late gadolinium enhancement revealed a “mass” at the right coronary artery and linear subendocardial enhancement at the posterior wall. Coronary angiography later confirmed a giant coronary aneurysm with a substantial thrombus. The combined presence of the coronary artery aneurysm and mitral valve prolapse in this patient was likely a sequela of Kawasaki disease.

Acute Coronary Syndrome in a Young Woman Treated With Sibutramine

2010 ◽  
Vol 63 (2) ◽  
pp. 242-243 ◽  
Author(s):  
José J. Gómez-Barrado ◽  
Soledad Turégano ◽  
Francisco J. Garcipérez de Vargas ◽  
Yolanda Porras
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Woman ◽  
Coronary Syndrome
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