Spontaneous coronary artery dissection can present as acute myocardial infarction in middle-aged men and may be managed medically with a good medium-term outcome.
Spontaneous coronary artery dissection is a rare incident occurring usually in young patients, predominantly in females. It is usually fatal and found postmortem. We present the case of a middle aged man with spontaneous left anterior descending coronary artery dissection found angiographically which caused an anterior wall myocardial infarction. We also briefly review the relevant literature.
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Kouvaras et al. (1993) studied this question.
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