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Spontaneous Primary Dissection of the Coronary Artery

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Summary

A 41 year old woman died suddenly and unexpectedly as a result of a spontaneous primary dissection of acoronary artery. This rare condition occurs typically in pre-menopausal women often in the peripartum period and hormonal changes have been among several suggested aetiological factors. In this case an association with auto-immune thyroiditis is described for the first time and the importance of extensive examination of the coronary arteries at autopsy is emphasised as the lesion was confined to a small focus near the apex of the heart

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McDonald, G.S.A. Spontaneous Primary Dissection of the Coronary Artery. I.J.M.S. 158, 304–306 (1989). https://doi.org/10.1007/BF02983693

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