Spontaneous coronary artery dissection: Still a lot to learn

1Citations
Citations of this article
6Readers
Mendeley users who have this article in their library.

Abstract

Non-atherosclerotic spontaneous coronary artery dissection (SCAD) is an uncommon but probably underdetected pathological substrate for acute coronary syndrome. Clinical associations have been noted, like female gender and young age, but its pathophysiology is not yet fully understood. In this report we describe the case of a 50-year-old woman, without cardiovascular risk factors presenting with non-ST segment elevation myocardial infarction, in whom SCAD was diagnosed. Treatment was initially conservative but due to aggravation of the dissection she eventually underwent a complex percutaneous coronary intervention, requiring implantation of multiple stents, but with a good clinical outcome. The procedure was guided by optical coherence tomography (OCT). Carefully analyzing the combined pictures of OCT and angiography, the dissection appeared to be filled with a clear fluid, but not contrast.

Cite

CITATION STYLE

APA

Neves, D., Bento, Â., Fernandes, R., Patrício, L., & Aguiar, J. (2017). Spontaneous coronary artery dissection: Still a lot to learn. Revista Portuguesa de Cardiologia, 36(1), 59.e1-59.e5. https://doi.org/10.1016/j.repc.2016.06.012

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free