SPONTANEOUS DISSECTION OF THE CORONARY-AR TERIES - REPORT OF 2 NEW CASES WITH A FAVORABLE OUTCOME

The authors report two new cases of spontaneous coronary dissection an d discuss the real frequency of this disease as well as their generall y reported poor prognosis. One case was a 32-year-old female migraine- sufferer treated by beta-blockers, who developed a rudimentary anterio r myocardial infarction. The other case was a 43-year-old man who pres ented with a threatened anterior myocardial infarction without myolysi s documented by cardiac enzymes. Both patients were smokers and both h ad an excellent outcome, clinically and on stress tests, with a follow -up on medical treatment alone of thirty months for the first case and fourteen months for the second case. These two new cases had a good p rognosis, in contrast with the majority of cases published.