open access

Vol 17, No 1 (2010)
Case Reports
Published online: 2010-01-26
Submitted: 2013-01-14
Get Citation

Spontaneous healing of spontaneous coronary artery dissection

Amar Almafragi, Carl Convens, Paul Van Den Heuvel
Cardiol J 2010;17(1):92-95.

open access

Vol 17, No 1 (2010)
Case Reports
Published online: 2010-01-26
Submitted: 2013-01-14

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)

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)
Get Citation

Keywords

coronary dissection; spontaneous; thrombolysis; female

About this article
Title

Spontaneous healing of spontaneous coronary artery dissection

Journal

Cardiology Journal

Issue

Vol 17, No 1 (2010)

Pages

92-95

Published online

2010-01-26

Bibliographic record

Cardiol J 2010;17(1):92-95.

Keywords

coronary dissection
spontaneous
thrombolysis
female

Authors

Amar Almafragi
Carl Convens
Paul Van Den Heuvel

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