A rare presentation of primary spontaneous coronary dissection: Left ventricular apical thrombus associated with ischemic cerebrovascular event

Primary spontaneous coronary dissection is a rare condition. It occurs often in young women and is associated with pregnancy. Initial presentations are most likely unstable angina pectoris, myocardial infarction, and congestive heart failure. The optimal management of spontaneous coronary dissection has not been established, but it ranges from conservative medical treatment to percutaneous and surgical interventions. Here, we present the case of a 72-year-old woman with an ischemic stroke due to a left ventricular apical thrombus, secondary to primary spontaneous coronary dissection. (C) 2008 Elsevier Ireland Ltd. All rights reserved.