{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:05:25Z","timestamp":1787022325039,"version":"build-2736575974"},"reference-count":17,"publisher":"Texas Heart Institute Journal","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Clinical presentation ranges from chest pain alone to ST-segment-elevation myocardial infarction, ventricular fibrillation, and sudden death. The treatment of patients with spontaneous coronary artery dissection is challenging because the disease pathophysiology is unclear, optimal treatment is unknown, and short- and long-term prognostic data are minimal.<\/jats:p>\n                  <jats:p>We report the case of a 70-year-old woman who presented with an acute ST-segment-elevation myocardial infarction secondary to a spontaneous dissection of the left anterior descending coronary artery. She was treated conservatively. Cardiac tamponade developed 16 hours after presentation. Repeat coronary angiography revealed extension of the dissection. Medical therapy was continued after the hemopericardium was aspirated. The patient remained asymptomatic 3 years after hospital discharge. To our knowledge, this is the first reported case of spontaneous coronary artery dissection in association with cardiac tamponade that was treated conservatively and had a successful outcome.<\/jats:p>","DOI":"10.14503\/thij-14-4260","type":"journal-article","created":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T16:24:07Z","timestamp":1443716647000},"page":"479-482","source":"Crossref","is-referenced-by-count":5,"title":["Spontaneous Coronary Artery Dissection with Cardiac Tamponade"],"prefix":"10.14503","volume":"42","author":[{"given":"Anne C.H.","family":"Goh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Lundstrom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"2","key":"i0730-2347-42-5-479-b1","series-title":"Eur J Cardiothorac Surg","first-page":"250","article-title":"Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients","volume":"35","year":"2009","unstructured":"Vanzetto\n              G, \n            \n              Berger-Coz\n              E, \n            \n              Barone-Rochette\n              G, \n            \n              Chavanon\n              O, \n            \n              Bouvaist\n              H, \n            \n              Hacini\n              R, \n          \n          et al. 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Heart2010;96(10):801\u20138."},{"issue":"5","key":"i0730-2347-42-5-479-b14","series-title":"J Invasive Cardiol","first-page":"222","article-title":"Spontaneous coronary artery dissection: aggressive vs. conservative therapy","volume":"22","year":"2010","unstructured":"Shamloo\n              BK, \n            \n              Chintala\n              RS, \n            \n              Nasur\n              A, \n            \n              Ghazvini\n              M, \n            \n              Shariat\n              P, \n            \n              Diggs\n              JA, \n            \n              Singh\n              SN.\n            \n          \n          Spontaneous coronary artery dissection: aggressive vs. conservative therapy. 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