Acute Myocardial Infarction in a Patient with Primary Coronary Dissection and Severe Coronary Vasospasm

Abstract

A case of myocardial infarction associated with coronary artery dissection in a thirty- five-year-old woman is reported. An emergent coronary angiogram revealed extensive dissection and thrombosis in the right coronary artery; in addition, severe vasospasm was observed in the left coronary artery on the next day. She was successfully treated with intracoronary thrombolysis and intra-aortic balloon pumping. The patient is alive and well two years after infarction.