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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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CASE REPORT |
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Volume 26 |
April - June 2010 |
Number 2 |
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Spontaneous coronary artery dissection
associated with apical
hypertrophic cardiomyopathyMustafa Tuncer1, Hasan Ali Gumrukcuoglu2,
Hasan Ekim3, Yilmaz Gunes4, Hakki Simsek5ABSTRACT
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.
KEY WORDS:
Apical Hypertrophic Cardiomyopathy, Coronary Artery Dissection.Pak J Med Sci April - June 2010 Vol. 26 No. 2 474-477
How to cite this article:
Tuncer M, Gumrukcuoglu HA, Ekim H, Gunes Y, Simsek H. Spontaneous coronary artery dissection associated with apical hypertrophic cardiomyopathy: Pak J Med Sci 2010;26(2):474-477.
1. Mustafa Tuncer, MD.,
2. Hasan Ali Gumrukcuoglu, M.D.,
3. Hasan Ekim, M.D.
4. Yilmaz Gunes, MD.,
5. Hakki Simsek, MD.,
1-5: Yuzuncu Yil University, Faculty of Medicine Van,
Turkey.
Correspondence:
Hasan Ali Gumrukcuoglu,
Yuzuncu Yżl University, School of Medicine,
Department of Cardiology, 65100, Van, Turkey
E-mail: hasanaliq80@yahoo.com
* Received for Publication: August 21, 2009
* Accepted: January 31, 2010
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