SPONTANEOUS CORONARY ARTERY DISSECTION ASSOCIATED WITH APICAL HYPERTROPHIC CARDIOMYOPATHY

Tuncer M., GÜMRÜKÇÜOĞLU H. A., EKIM H., GUNES Y., Simsek H.

PAKISTAN JOURNAL OF MEDICAL SCIENCES, vol.26, no.2, pp.474-477, 2010 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 2
  • Publication Date: 2010
  • Journal Name: PAKISTAN JOURNAL OF MEDICAL SCIENCES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.474-477
  • Van Yüzüncü Yıl University Affiliated: Yes

Abstract

Apical hypertrophic cardiomyopathy (HCM) is a relatively uncommon inherited disease. Spontaneous coronary artery dissection (SCAD) is also uncommonly observed, which often occurs in pregnant or post partum women but is rare in men. This report describes a 38 years old man with apical hypertrophic cardiomyopathy who developed SCAD leading to acute inferior myocardial infarction. After emergent appendectomy operation at another hospital, he was immediately transferred to the Cardiology Department of our hospital due to acute myocardial infarction. He emergently underwent coronary angiography which showed a long dissection involving the right coronary. He underwent an emergent CABG with cardiopulmonary bypass. Postoperative recovery was uneventful and he was discharged. According to our knowledge, no case of spontaneous coronary artery dissection associated with apical hypertrophic cardiomyopathy unrelated to postpartum period or oral contraceptive use has been reported so far.