Vol 17, No 1 (2010)
Case Reports
Published online: 2010-01-26
Spontaneous healing of spontaneous coronary artery dissection
Cardiol J 2010;17(1):92-95.
Abstract
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome
and sudden cardiac death. It should be suspected in every healthy young woman without cardiac
risk factors, especially during the peripartum or postpartum periods. It is important to check for
a history of drug abuse, collagen vascular disease or blunt trauma of the chest. Coronary
angiography is essential for diagnosis and early management. We wonder whether thrombolysis
might aggravate coronary dissection. All types of treatment (medical therapy, percutaneous
intervention or surgery) improve the prognosis without affecting survival times if used appropriately
according to the clinical stability and the angiographic features of the involved coronary
arteries. Prompt recognition and targeted treatment improve outcomes.
We report a case of SCAD in a young female free of traditional cardiovascular risk factors, who presented six hours after thrombolysis for ST elevation myocardial infarction. Coronary angiography showed a dissection of the left anterior descending and immediate branch. She had successful coronary artery bypass grafting, with complete healing of left anterior descending dissection.
(Cardiol J 2010; 17, 1: 92-95)
We report a case of SCAD in a young female free of traditional cardiovascular risk factors, who presented six hours after thrombolysis for ST elevation myocardial infarction. Coronary angiography showed a dissection of the left anterior descending and immediate branch. She had successful coronary artery bypass grafting, with complete healing of left anterior descending dissection.
(Cardiol J 2010; 17, 1: 92-95)
Keywords: coronary dissectionspontaneousthrombolysisfemale