Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries

A 49-year-old man complained of sudden upper abdominal pain but was not given a definitive diagnosis. The day after he was discharged, he noticed left chest pain. An in-depth electrocardiogram indicated acute myocardial infarction, and emergent coronary angiography revealed 99% stenosis of his left...

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Autores principales: Nishi, Masato, Sueta, Daisuke, Miyazaki, Takashi, Sakamoto, Kenji, Yamamoto, Eiichiro, Izumiya, Yasuhiro, Tsujita, Kenichi, Kojima, Sunao, Kaikita, Koichi, Ikeda, Osamu, Yamashita, Yasuyuki, Hokimoto, Seiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498200/
https://www.ncbi.nlm.nih.gov/pubmed/28566599
http://dx.doi.org/10.2169/internalmedicine.56.8043
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author Nishi, Masato
Sueta, Daisuke
Miyazaki, Takashi
Sakamoto, Kenji
Yamamoto, Eiichiro
Izumiya, Yasuhiro
Tsujita, Kenichi
Kojima, Sunao
Kaikita, Koichi
Ikeda, Osamu
Yamashita, Yasuyuki
Hokimoto, Seiji
author_facet Nishi, Masato
Sueta, Daisuke
Miyazaki, Takashi
Sakamoto, Kenji
Yamamoto, Eiichiro
Izumiya, Yasuhiro
Tsujita, Kenichi
Kojima, Sunao
Kaikita, Koichi
Ikeda, Osamu
Yamashita, Yasuyuki
Hokimoto, Seiji
author_sort Nishi, Masato
collection PubMed
description A 49-year-old man complained of sudden upper abdominal pain but was not given a definitive diagnosis. The day after he was discharged, he noticed left chest pain. An in-depth electrocardiogram indicated acute myocardial infarction, and emergent coronary angiography revealed 99% stenosis of his left coronary artery. An intravascular ultrasound revealed spontaneous coronary artery dissection (SCAD), and the lesion was successfully stented. In an atherosclerosis screening, superior mesenteric artery dissection (SMAD) was confirmed, after which the lesion was successfully stented. This case suggests that SCAD and SMAD might have similar pathological backgrounds.
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spelling pubmed-54982002017-07-07 Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries Nishi, Masato Sueta, Daisuke Miyazaki, Takashi Sakamoto, Kenji Yamamoto, Eiichiro Izumiya, Yasuhiro Tsujita, Kenichi Kojima, Sunao Kaikita, Koichi Ikeda, Osamu Yamashita, Yasuyuki Hokimoto, Seiji Intern Med Case Report A 49-year-old man complained of sudden upper abdominal pain but was not given a definitive diagnosis. The day after he was discharged, he noticed left chest pain. An in-depth electrocardiogram indicated acute myocardial infarction, and emergent coronary angiography revealed 99% stenosis of his left coronary artery. An intravascular ultrasound revealed spontaneous coronary artery dissection (SCAD), and the lesion was successfully stented. In an atherosclerosis screening, superior mesenteric artery dissection (SMAD) was confirmed, after which the lesion was successfully stented. This case suggests that SCAD and SMAD might have similar pathological backgrounds. The Japanese Society of Internal Medicine 2017-06-01 /pmc/articles/PMC5498200/ /pubmed/28566599 http://dx.doi.org/10.2169/internalmedicine.56.8043 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nishi, Masato
Sueta, Daisuke
Miyazaki, Takashi
Sakamoto, Kenji
Yamamoto, Eiichiro
Izumiya, Yasuhiro
Tsujita, Kenichi
Kojima, Sunao
Kaikita, Koichi
Ikeda, Osamu
Yamashita, Yasuyuki
Hokimoto, Seiji
Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title_full Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title_fullStr Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title_full_unstemmed Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title_short Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries
title_sort simultaneous idiopathic dissections of the coronary and superior mesenteric arteries
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498200/
https://www.ncbi.nlm.nih.gov/pubmed/28566599
http://dx.doi.org/10.2169/internalmedicine.56.8043
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