Table 2 |
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|
Review of reported coronary artery dissections, treatment strategies, and outcomes |
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|
Author/Journal |
Patient age/sex |
Mechanism |
Injury |
Treatment |
Outcome |
|
|
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|
Redondo, et al [11] Am J Emerg Surg, 2009 |
45 yo F |
Motor vehicle collision |
LMCA-focal stenotic dissection; RCA dissection |
Angioplasty and heparin |
Death secondary to intra-abdominal hemorrhage |
|
|
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|
Goyal, et al. [12] Heart, 2009 |
47 yo M |
Motor vehicle collision |
LMCA extending to LAD dissection |
Unknown (no thrombolytics) |
unknown |
|
|
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|
Harada, et al. [8] Ann Thorac Surg, 2002 |
14 yo M |
Motorcycle collision |
LMCA dissection with left ventricular aneurysm |
Supportive care with surgical patch angioplasty and anuerysmectomy, mitral valvuloplasty and tricuspid annuloplasty 3 weeks later |
Discharge to home; doing well 4 years post-operatively |
|
|
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|
Cini, et al [15] Interact Cardiovasc Thorac Surg, 2008 |
43 yo F |
Spontaneous |
LMCA dissection |
Surgical revascularization |
Discharge home |
|
|
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|
Rogers, et al Clin Cardiol, 2007 |
37 yo F (post-partum) |
Spontaneous |
LMCA with LAD involvement |
Surgical revascularization |
Discharge home |
|
|
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|
Hazeleger, et al. [5] Circulation, 2001 |
29 yo M |
Tackled in football 2 months prior to arrival |
LAD dissection; OM dissection |
Stent |
Discharge home |
|
|
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|
Smayra, et al. [10] Am J Thorac Cardiovasc Surg, 2007 |
17 yo M |
Unrestrained motor vehicle collision 1 month prior to symptoms |
LAD dissection |
Surgical revascularization |
Discharge home |
|
|
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|
Korach, et al [9] Interact Cardiovasc Thorac Surg, 2008 |
40 yo M |
Pedestrian struck by automobile |
LAD dissection |
Surgical revascularization |
Discharge home |
|
|
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|
Leong & Brown [7] Emerg Med J, 2006 |
50 yo M |
Motorcycle collision |
LAD dissection |
Bare metal stent + angioplasty after thrombosis |
Discharge home |
|
|
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|
Boland, et al. [13] Chest, 1988 |
32 yo F |
Motor vehicle collision at 15 mph 3 days prior to admission |
LAD & LCx dissection |
Surgical revascularization |
Discharge home |
|
|
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|
Vogiatzis, et al. [16] Hellenic J Cardiol, 2010 |
31 yo F (pregnant) |
Spontaneous |
LCx dissection |
Conservative treatment without revascularization |
Discharge home |
|
|
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|
Greenberg, et al. [4] Chest, 1998 |
35 yo F |
Water-skiing 2 days prior to arrival |
Circumflex artery dissection with moderate occlusion |
Angiogram without intervention |
Death due to brain death secondary to Vfib arrest prior to emergency department arrival |
|
|
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|
De Macedo, et al. [17] J Invasive Cardiol, 2009 |
34 yo M |
Spontaneous |
RCA dissection |
Stent, heparin, clopidogrel, tirofiban, aspirin |
Discharge home |
|
|
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|
Hobelmann[6] Emerg Med J, 2006 |
32 yo M |
Elbow to chest in basketball |
RCA dissection |
Eptifibitide and heparin, stent X2 |
Discharge home |
|
|
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|
Table 2 Abbreviations: LAD: left anterior descending artery; LCx: left circumflex artery; RCA: right coronary artery; LMCA: left main coronary artery; OM: obtuse marginal artery; Vfib: ventricular fibrillation |
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James et al. World Journal of Emergency Surgery 2010 5:21 doi:10.1186/1749-7922-5-21 |
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