• Ir J Med Sci · Dec 1989

    Case Reports

    Spontaneous primary dissection of the coronary artery.

    • G S McDonald.
    • Ir J Med Sci. 1989 Dec 1; 158 (12): 304306304-6.

    AbstractA 41 year old woman died suddenly and unexpectedly as a result of a spontaneous primary dissection of a coronary 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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