Cor Vasa 2008, 50(11):424-427 | DOI: 10.33678/cor.2008.154

Spontaneous coronary artery dissection

Michael Želízko^*, Marek Hrnčárek, Bronislav Janek, Vladimír Karmazín, Vladimír Pořízka

Klinika kardiologie, Institut klinické a experimentální medicíny, Praha, Česká republika

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome in young patients without apparent risk factors for coronary artery disease. It is predominantly young healthy females who are affected during pregnancy and the peripartum period, with connective tissue diseases or autoimmune diseases implicated in the pathophysiology of this condition. Therapeutic approaches include conservative medical therapy, coronary artery bypass graft surgery, and percutaneous coronary intervention (PCI) with intravascular ultrasound guidance, depending on the extent of disease and clinical symptoms.

Keywords: Spontaneous coronary artery dissection; Acute coronary syndrome; Myocardial infarction

Published: November 1, 2008  Show citation