Two case reports of spontaneous coronary dissection
Avicenne Military Hospital, Faculty of Medicine of Marrakech, Cadi Ayyad University, Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(01), 1809-1814
Article DOI: 10.30574/wjarr.2024.22.1.1256
Publication history:
Received on 15 March 2024; revised on 21 April 2024; accepted on 24 April 2024
Abstract:
Spontaneous coronary artery dissection (SCAD) has nowadays been described as a non-negligible etiology of acute coronary syndromes (ACS). Its prevalence approximates 3% in most cohorts. It mainly affects women in the young to middle-aged range. Individuals with SCAD typically exhibit fewer conventional cardiovascular risk factors associated with ischemic heart disease compared to those with atherosclerotic coronary artery disease. Nevertheless, some SCAD patients may present with risk factors such as hypertension, smoking, and dyslipidemia, although their direct contribution to SCAD risk remains uncertain.
We present two cases of spontaneous coronary dissection to explore its pathogenesis, diagnosis, and treatment options.
Learning objectives
· Recognize spontaneous coronary artery dissection as the possible cause of ACS in females even with cardiovascular risk factors.
Learn the importance of angiographic control after a conservative therapy that may lead to a more invasive approach.
Keywords:
CAD; SCAD; IVUS; ACS; PCI
Full text article in PDF:
Copyright information:
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0