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Case 11
Presented by: Prof. Anton Lehr
Clinical History
The patient , a 55- year-old Caucasian lady with no previous medical history, collapsed when driving home in her car after a leisurely swimming session. She had sufficient time prior to cardiopulmonary resuscitation to report to a bystander of a recent history (one week prior) of chest pain but for which she had not consulted a physician. Cardio-respiratory reanimation was peormed for 40 minutes, but without success. At autopsy, no Marfan or Danlos syndrome was noted , the heart weighed 310 grams ( body weight 55 kilogram, height165 cm, body mass index 20,2). No vascular or myocardial abnormalities were noted. No cardiac hypotrophy ( LV 1,3 cm, RV 0,5cm). The ascending aorta was macroscopically normal. Examination of the coronary tree revealed no atherosclerotic changes but rather complete occlusion of all tree main coronary arteries. H&E slides contains cross section of coronary artery.
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Spontaneous coronary artery dissection (SCAD)
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28.12.2007 |
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