Spontaneous Dissection of the Coronary Artery: A Cause of Myocardial Infarction not to be forgotten in the Young Subject - Abstract
Myocardial infarction in young people is relatively infrequent and presents etiological and therapeutic problem. We report the case of a 27-year-old patient with no cardiovascular risk factor, no substance abuse, and no family history of cardiovascular event who presented with recurrent atypical chest pain with electrocardiogram repolarization abnormalities as ST elevation in inferior-latero-basal location. Coronary angiography five months later revealed chronic subocclusive stenosis of the ostial left anterior descending artery and normal aspect of others coronary arteries. Coronary artery bypass surgery was indicated and done in Tunisia by anastomosis between the left internal mammary artery and the middle left anterior descending artery. For etiological purposes, we suspected thrombophilia, but the examinations performed were normal, suggesting spontaneous coronary dissection. The postoperative evolution was straightforward.