Skip to main content
SpringerLink
Log in

Primary dissecting aneurysms of the coronary arteries: Case report and literature review

  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We describe a case of dissecting aneurysm that occurred in a 33-year-old woman suffering from acute myocardial infarction, which was discovered by coronary angiography. Angiographic diagnosis of dissections is rare with only six such cases previously reported. Sixty cases in the literature are reviewed to ascertain the main characteristics of this rare entity. The distinct predominance of this disease among women, particularly post partum, suggests an hormonal influence on its pathogenesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Pretty HC (1931) Dissecting aneurysm of coronary artery in a woman aged 42 rupture. Br Med J 1:663

    Article  Google Scholar 

  2. Boschetti AE, Levine A (1958) Cystic medionecrosis with dissecting aneurysm of coronary arteries. Arch Intern Med 102:562–570

    CAS  Google Scholar 

  3. Nalbandian RM, Chason JL (1965) Intramural (intramedial) dissecting hematomas in normal or otherwise unremarkable coronary arteries. Am J Clin Pathol 43:348–356

    PubMed  CAS  Google Scholar 

  4. Ashley PF (1965) Dissecting aneurysm of the coronary artery: Case report. Del Med J 37:86–88

    PubMed  CAS  Google Scholar 

  5. Brody GL, Burton JF, Zawadski ES (1965) Dissecting aneurysms of the coronary artery. N Engl J Med 273:1–6

    Article  PubMed  CAS  Google Scholar 

  6. Kurrein F (1965) Dissecting aneurysm of the coronary artery. Med Sci Law 5:109–111

    PubMed  CAS  Google Scholar 

  7. Whitehead R, Dunnill MS (1969) Primary dissecting aneurysms of coronary arteries. J Pathol 99:33–37

    Article  PubMed  CAS  Google Scholar 

  8. Barret DL (1969) Isolated dissecting aneurysm of the coronary artery, Report of a case apparently due to hypersensitivity angiitis. Ohio State Med J 65:830–832

    Google Scholar 

  9. Palomino SJ (1969) Dissecting intramural hematoma of left coronary artery in the puerperium. Am J Clin Pathol 51:119–129

    PubMed  CAS  Google Scholar 

  10. Kaufman G, Engelbrent WJ (1969) Hemorrhagic intramedial dissecting of coronary artery with cystic medial necrosis. Am J Cardiol 24:409–413

    Article  PubMed  CAS  Google Scholar 

  11. Benson PA (1970) Dissecting aneurysms of right and left coronary arteries. J Forensic Sci 15:65–70

    PubMed  CAS  Google Scholar 

  12. Boquist L, Berg P (1970) Multiple dissecting aneurysms in peripheral arteries. J Pathol 100:145–148

    Article  PubMed  CAS  Google Scholar 

  13. Claudon DG, Claudon JB, Edwards JE (1972) Primary dissecting aneurysm of coronary artery. Circulation 45:259–266

    PubMed  CAS  Google Scholar 

  14. Ascuncion CM, Huyn J (1972) Dissecting intramural hematoma of the coronary artery in pregnancy and the puerperium. Obstet Gynecol 40:202–210

    Google Scholar 

  15. Bulkley BH, Roberts WC (1973) Dissecting aneurysm (hematoma) limited to coronary artery. A clinicopathologic study of six patients. Am J Med 55:747–756

    Article  PubMed  CAS  Google Scholar 

  16. Pisano RV, Taylor MB, Sopher IM (1978) Dissecting coronary artery aneurysm, A report of two cases. J Forensic Sci 1:18–25

    Google Scholar 

  17. Jewett JF (1979) Two dissecting coronary artery aneurysms post partum. N Engl J Med 298:1255–1256

    Article  Google Scholar 

  18. Ehya H, Weitzner S (1980) Post partum dissecting aneurysm of coronary arteries in a patient with sarcoidosis. South Med J 73:87–88

    PubMed  CAS  Google Scholar 

  19. Gibson WGH, Reimer KA (1980) Multiple coronary artery dissections in old age. Arch Pathol 104:419–421

    CAS  Google Scholar 

  20. Forker AD, Rosenlof RC, Weaver WF (1973) Primary dissecting aneurysm of the right coronary artery with survival. Chest 64:656–658

    PubMed  CAS  Google Scholar 

  21. Westbrook RI (1975) Primary dissecting aneurysm of the coronary artery. Nebr Med J 60:8

    PubMed  CAS  Google Scholar 

  22. Razavi M (1975) Unusual forms of coronary artery disease. Cardiovasc Clin 7:25–46

    PubMed  CAS  Google Scholar 

  23. Di Mattéo J, Delage B, Cachera JP, Heulin A, DeLvaux JC, Le Pailleur C, Hui-Bon Hoa F (1977) Dissection primitive isolée de l'artère coronaire droite. Arch Mal Coeur 70:1137–1147

    PubMed  Google Scholar 

  24. Shaver PJ, Carrig TF, Baker WP (1978) Postpartum coronary artery dissection. Br Heart J 40:83–86

    PubMed  CAS  Google Scholar 

  25. Ciraulo DA, Chesne RB (1978) Coronary arterial dissection. Chest 73:677–679

    PubMed  CAS  Google Scholar 

  26. Gore I, Steivert VJ (1952) Dissecting aneurysm of the aorta. Arch Pathol 53:121–141

    CAS  Google Scholar 

  27. Hedinger C (1948) Contusio cordis mit Spätruptur der linken Herzkammer. Cardiologia 12:46–53

    Google Scholar 

  28. Eshaghy B, Bhalerao J, Croke RP (1976) Right coronary artery dissection: A complication of cardiac catheterization and coronary angiography. Chest 70:551–553

    PubMed  CAS  Google Scholar 

  29. Morise AP, Hardin NJ, Bowill EG, Gundel WD (1981) Coronary artery dissection, secondary to coronary arteriography. Presentation of 3 cases and review of literature. Cathet Cardiovasc Diagn 7:283–296

    PubMed  CAS  Google Scholar 

  30. Smith JC (1975) Dissecting aneurysms of coronary arteries. Arch Pathol 99:117–121

    PubMed  CAS  Google Scholar 

  31. Watson AJ (1956) Dissecting aneurysm of arteries other than the aorta. J Pathol 72:439–449

    Article  Google Scholar 

  32. Foord AG, Lewis RD (1959) Primary dissecting aneurysms of peripheral and pulmonary arteries: dissecting hemorrhage of media. Arch Pathol 68:553–577

    PubMed  CAS  Google Scholar 

  33. Schnitker MA, Bayer CA (1944) Dissecting aneurysm of the aorta in young individuals, particularly in association with pregnancy with report of a case. Ann Intern Med 21:486–511

    Google Scholar 

  34. Manallo-Estrella P, Barker AE (1967) Histopathologic findings in human aortic media association with pregnancy. Arch Pathol 83:336–341

    Google Scholar 

  35. Pedowitz P, Perell A (1957) Aneurysms complicated by pregnancy I. Aneurysms of the aorta and its major branches. Am J Obstet Gynecol 73:720–735

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de Radiologie, Hôpital Henri Mondor, 51, rue du Maréchal de Lattre de Tassigny, F-94010, Creteil Cédex, France

    Didier Mathieu M.D., Dominique Lardé & Norbert Vasile

Authors
  1. Didier Mathieu M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dominique Lardé
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Norbert Vasile
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mathieu, D., Lardé, D. & Vasile, N. Primary dissecting aneurysms of the coronary arteries: Case report and literature review. Cardiovasc Intervent Radiol 7, 71–74 (1984). https://doi.org/10.1007/BF02552682

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02552682

Key words

Search

Navigation