Brief report
Primary coronary artery dissection observed at coronary angiography

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Abstract

Primary coronary artery dissection has rarely been reported since Pretty's first description in 1931.l Earlier cases, which were diagnosed incidentally at autopsy, yielded a clinical picture of catastrophic acute coronary artery disease, revealed either by sudden death (62%) or acute myocardial ischemia (38%).2 Recently, however, the diagnosis has been made on clinical grounds. Among the 15 previous case reports of primary coronary artery dissection documented by coronary arteriogram (Table I), the diagnosis was made during coronary angiogram conducted for initial examination of acute myocardial infarction in 13 and during coronary angiogram performed under a diagnosis of angina pectoris in 2 patients.

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