{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:44:40Z","timestamp":1777398280802,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2003,5,1]],"date-time":"2003-05-01T00:00:00Z","timestamp":1051747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2003,5]]},"abstract":"<jats:p>Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction, which is infrequently diagnosed antemortem. The majority of the previously reported cases were found in women of whom a significant proportion presented during pregnancy or the post partum period. A case is presented of an acute myocardial infarction in a 37-year-old woman, unrelated to pregnancy or the postpartum state, with an unusual spontaneous coronary dissection that was angiographically documented 6 days after thrombolytic therapy. Origi nating in a small dissection in the left main coronary artery, a false lumen parallel to the left anterior descending coronary artery (LAD) with a separation of the lumina of up to 1 mm was found with a reentry of the false lumen into the LAD in its mid portion. Both lumina were perfused and the true lumen of the LAD showed a 50% to 60% diameter stenosis. Because no signs of ongoing ischemia could be detected at rest or during exercise, the patient was treated medically. Two months later, repeat coronary angiography documented a complete obliteration of the false lumen with moderate stenosis of the proximal LAD. Pathophysiologic aspects and treatment options of spontaneous coronary artery dissections are discussed.<\/jats:p>","DOI":"10.1177\/000331970305400312","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T17:57:07Z","timestamp":1217267827000},"page":"353-357","source":"Crossref","is-referenced-by-count":4,"title":["False Coronary Lumen Originating from Left Main Coronary Artery Dissection Causing Acute Myocardial Infarction"],"prefix":"10.1177","volume":"54","author":[{"given":"Manfred","family":"Mauser","sequence":"first","affiliation":[{"name":"Klinikum Lahr, Medizinische Klinik, Abteilung Kardiologie, Lahr, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,5,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1136\/bmj.1.3667.667","volume":"1","author":"Pretty HC","year":"1931","journal-title":"BMJ"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200102)52:2<226::AID-CCD1054>3.0.CO;2-R"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199602)37:2<201::AID-CCD21>3.0.CO;2-L"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.69.818.940"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(94)90060-4"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960140714"},{"key":"atypb7","first-page":"307","volume":"18","author":"Nishikawa H.","year":"1988","journal-title":"J Cardiol"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90423-2"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62372-7"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)92977-7"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810320114"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(91)90780-O"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/43.4.348"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90853-1"},{"key":"atypb15","first-page":"470","volume":"111","author":"Dowling GP","year":"1987","journal-title":"Arch Pathol Lab Med"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810330216"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00382-8"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90068-4"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199811)45:3<280::AID-CCD14>3.0.CO;2-P"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331970305400312","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331970305400312","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:12:57Z","timestamp":1777371177000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000331970305400312"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2003,5]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2003,5]]}},"alternative-id":["10.1177\/000331970305400312"],"URL":"https:\/\/doi.org\/10.1177\/000331970305400312","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,5]]}}}