Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente

Abstract

Spontaneous coronary artery dissection is a rare condition that usually causes (Rev Med Chile 2016; 144: 257-261)

Beyond Atherothrombotic Disease in Acute Coronary Syndrome

“…Properly for dissecting events, a high prevalence of fibromuscular dysplasia, connective diseases, autoimmune diseases, and stress situations has been reported. [7][8][9] SCAD is the cause of 1-4% of all cases of ACS, the vast majority of which appear in women without pregnancy-related conditions. However, when analyzed in pregnant women, SCAD can reach up to 43%, one of the main causes of coronary events in this population.…”

“…Thrombolytic therapy should be avoided. [7][8][9] Medical treatment is based on dual anti-aggregation (monotherapy has been reported in low risk patients) for a minimum of 6 months, with a beta blocker (especially if there is left ventricular dysfunction or arrhythmia control) and a strict control of comorbidities. Severe acute stressful situations should be avoided, and Valsalva maneuver activities should be performed.…”