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Spontane Koronararteriendissektion während kombinierter transdermaler Hormontherapie bei postmenopausaler Patientin

Spontaneous multivessel coronary artery dissection due to combined transdermal homone therapy in a postmenopausal patient

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Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die spontane multiple Koronararteriendissektion stellt eine seltene klinische Entität dar, deren genaue Ätiologie noch als ungeklärt gilt. Wir berichten den Fall einer spontanen multiplen Koronararteriendissektion, vermutlich auf der Grundlage einer kombinierten transdermalen Hormontherapie, bei einer postmenopausalen Patientin, die mittels operativer Myokardrevaskularisation behandelt wurde, und beschreiben die aktuellen Erkenntnisse hinsichtlich Pathogenese und Therapie dieser, in den meisten Fällen letal verlaufenden Erkrankung.

Abstract

Spontaneous multivessel dissection of the coronary arteries is a rare clinical entity of unclear etiology. In this article, the authors report a case of multiple coronary artery dissection, presumably associated with combined transdermal hormone therapy in a postmenopausal woman, which was treated by coronary bypass grafting. In addition, the current state of knowledge concerning pathogenesis and treatment of this, in most cases, fatal disease is presented.

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Literatur

  1. Maeder M, Ammann P, Angehm Rickli H (2005) Idiopathic spontaneous coronary artery dissection: incidence, diagnosis and treatment. Int J Cardiol 101(3):363–369

    Article  PubMed  Google Scholar 

  2. Tanis W, Stella PR, Kirkels HJ et al (2008) Spontaneous coronary artery dissection: current insights and therapy. Neth Heart J 16(10):344–349

    Article  PubMed  CAS  Google Scholar 

  3. Basile C, Lucarelli K, Langialonga T (2009) Spontaneous coronary artery dissection: one more extrarenal manifestation of autosomal dominant polycystic kidney disease? J Nephrol 22(3):414–416

    PubMed  Google Scholar 

  4. Steinhauer JR, Caulfield JB (2001) Spontaneous coronary artery dissection associated with cocaine use: a case report and brief review. Cardiovasc Pathol 10(3):141–145

    Article  PubMed  CAS  Google Scholar 

  5. Kanwar M, Gill N (2010) Spontaneous multivessel coronary dissection. J Invasive Cardiol 22(1):E5–E6

    PubMed  Google Scholar 

  6. Hering D, Piper C, Hohmann C et al (1998) Prospective study of the incidence, pathogenesis and therapy of spontaneous, by coronary angiography diagnosed coronary artery dissection. Z Kardiol 87(12):961–970

    Article  PubMed  CAS  Google Scholar 

  7. Koul AK, Hollander G, Moskovits N et al (2001) Coronary artery dissection during pregnancy and the postpartum period: Two case reports and review of the literature. Catheter Cardiovasc Interv 52(1):88–94

    Article  PubMed  CAS  Google Scholar 

  8. Rovner A, Thanigaraj S, Rogers JG et al (2004) Spontaneous multivessel coronary artery dissection in a young asymptomatic patient. J Interv Cardiol 17(2):123–127

    Article  PubMed  Google Scholar 

  9. Barett JM, Van Hooydonk JE, Boehn FH (1982) Pregnancy related related rupture of arterial aneurysms. Obstet Gynecol Surv 37(9):557–566

    Article  Google Scholar 

  10. Adlam D, Cuculi F, Lim C et al (2010) Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 22:549–553

    PubMed  Google Scholar 

  11. Unal M, Korkut AK, Kosem M et al (2008) Surgical management of spontaneous coronary dissection. Tex Heart Inst J 35:402–405

    PubMed  Google Scholar 

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  1. Klinik für Chirurgische Therapie der terminalen Herzinsuffizienz und Kunstherzversorgung, Evangelisches und Johanniter Klinikum Niederrhein gGmbH, Fahrner Str. 133-135, 47169, Duisburg, Deutschland

    S. Spiliopoulos, D. Gürsoy, R. Koerfer & G. Tenderich

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  1. S. Spiliopoulos
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  2. D. Gürsoy
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  3. R. Koerfer
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  4. G. Tenderich
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Correspondence to S. Spiliopoulos.

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Spiliopoulos, S., Gürsoy, D., Koerfer, R. et al. Spontane Koronararteriendissektion während kombinierter transdermaler Hormontherapie bei postmenopausaler Patientin. Z Herz- Thorax- Gefäßchir 25, 276–278 (2011). https://doi.org/10.1007/s00398-011-0869-3

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  • DOI: https://doi.org/10.1007/s00398-011-0869-3

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