Acute Myocardial Infarction Due to Coronary Artery Dissection in a Premenopausal Woman, Possible Contribution of Aortic Coarctation and Review of Literature

It is well-known that coronary artery disease (CAD) is the most cause of death in all over the world and generally been considered as a disease of elderly people and occasionally middle-aged men. Emerging data displays an important sex-based difference in CAD. Therefore CAD in the female population especially in premenopausal women is still identified less often and is treated less aggressively compared to that in the male population. The incidence of CAD in women older than 65 years is similar to that in men. However It is generally acknowledged that the risk for CAD is very low in premenopausal women by the reason of protective effect of woman hormones. Herein we report acute myocardial infarction due to coronary artery dissection in a premenopausal women, and conceivable contribution of aortic coarctation.