Acute myocardial infarction due to isolated spontaneous coronary artery dissection in the first septal branch: a case report Article Swipe
Kosuke Tanimura
,
Ryo Matsutera
,
Kenji Nakajima
,
Hideyuki Takaoka
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ehjcr/ytaf339
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ehjcr/ytaf339
Background Myocardial infarction due to isolated spontaneous dissection in the septal branch of the coronary arteries is a rare cause of myocardial infarction with non-obstructive coronary artery disease and is challenging to diagnose. Case summary A 61-year-old woman presenting with acute chest pain exhibited slight ST-segment elevation in leads V1–3 on electrocardiography. Echocardiography revealed mild hypokinetic septal wall motion. Contrast-enhanced computed tomography demonstrated a low-contrast area in the posterior septum. Emergency coronary angiography revealed delayed flow and stenosis in the first septal branch of the left anterior descending coronary artery. Intravascular ultrasound demonstrated a circumferential haematoma without an intimal tear or double lumen at the stenotic site. No balloon angioplasty or stent implantation was required because the flow delay in the septal branch disappeared after intravascular ultrasound procedure. The patient was conservatively managed with single antiplatelet therapy, calcium channel blocker, and statin. After 1 month, follow-up coronary computed tomography angiogram confirmed vascular patency of the first septal branch without narrowing, and the patient showed no recurrence. Discussion Myocardial infarction due to isolated spontaneous coronary dissection in the septal branch of the coronary arteries is an often overlooked cause of myocardial infarction with non-obstructive coronary artery disease. Therefore, intravascular imaging and contrast-enhanced computed tomography should be performed in cases of myocardial infarction with a non-obstructive coronary artery to locate the site of infarction and identify the cause.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ehjcr/ytaf339
- https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytaf339/63741576/ytaf339.pdf
- OA Status
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- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W4412409419
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412409419Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ehjcr/ytaf339Digital Object Identifier
- Title
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Acute myocardial infarction due to isolated spontaneous coronary artery dissection in the first septal branch: a case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-07-01Full publication date if available
- Authors
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Kosuke Tanimura, Ryo Matsutera, Kenji Nakajima, Hideyuki TakaokaList of authors in order
- Landing page
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https://doi.org/10.1093/ehjcr/ytaf339Publisher landing page
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https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytaf339/63741576/ytaf339.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytaf339/63741576/ytaf339.pdfDirect OA link when available
- Concepts
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Myocardial infarction, Cardiology, Medicine, Internal medicine, Dissection (medical), Infarction, Artery, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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12Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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