Recurrent spontaneous coronary artery dissection

Eddinger, Jonathan; Dietz, W

doi:10.1002/ccd.20543

Cited by 22 publications

(18 citation statements)

References 21 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Possible options include conventional medical therapy, or invasive therapies such as CABG or PTCA with coronary stenting [15]. Thrombolysis has been successfully used as a therapy [16], however there have been case reports of deleterious results with extension of the dissection following thrombolysis [17,18].…”

Section: Discussionmentioning

confidence: 98%

Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients

Vanzetto

Berger-Coz

Barone-Rochette

et al. 2009

European Journal of Cardio-Thoracic Surgery

300

257

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients

Vanzetto

Berger-Coz

Barone-Rochette

et al. 2009

European Journal of Cardio-Thoracic Surgery

300

257

View full text Add to dashboard Cite

show abstract

“…Although no risk factors for SCAD were identified in that case, beta-blockers had been discontinued 2 weeks earlier. 14 A third such case reports a 30-year-old female suffering an anterolateral myocardial infarction caused by spontaneous left main stem and left anterior descending artery dissection, managed with coronary artery bypass grafting (CABG) with venous conduits after internal mammary grafts had spontaneously dissected. Histopathology of the internal mammary arteries showed cystic medial necrosis.…”

Section: Discussionmentioning

confidence: 99%

Recurrent spontaneous coronary artery dissection: acute management and literature review

Rosengarten

Dana

2012

European Heart Journal: Acute Cardiovascular Care

View full text Add to dashboard Cite

show abstract

“…Estudos mais recentes mostram sobrevida em torno de 80% em 25 a 30 meses. 7,10,12 À luz dos conhecimentos atuais, a abordagem ideal da DEAC deve ser individualizada, levando-se sempre em consideração a apresentação clínica e as características angiográficas.…”

Section: 11unclassified

Dissecção Espontânea de Artéria Coronária: Abordagem Terapêutica e Desfechos de Uma Série Consecutiva de Casos

Manhaes¹,

Gomes²,

Bezerra³

et al. 2014

Rev. Bras. Cardiol. Invasiva

View full text Add to dashboard Cite

RESUMOIntrodução: A dissecção espontânea de artéria coronária é causa rara de síndrome coronariana aguda e, em mais de 70% das vezes, o diagnóstico é feito por meio de necrópsia. O tratamento ideal ainda é incerto, sendo a intervenção coronária percutânea, a cirurgia de revascularização miocárdica e o tratamento clínico as opções terapêuticas. O objetivo deste trabalho foi avaliar as características clínicas, o tratamento e a evolução de uma série de casos de dissecção espontânea de artéria coronária. Métodos: Estudo retrospectivo, unicêntrico, baseado em análise de banco de dados de um serviço de alta complexidade em cardiologia. Resultados: Identificamos 25 pacientes com dissecção espontânea de artéria coronária, dos quais 56% eram do sexo feminino, com idade de 48,8 ± 10 anos. Apenas 24% não apresentaram fator de risco para aterosclerose e, em 92% dos casos, o quadro clínico foi de síndrome coronária aguda. A artéria descendente anterior foi o vaso mais acometido (48%) e houve apenas um caso envolvendo múltiplos vasos. A estratégia conservadora foi realizada em 56%, a intervenção coronária percutânea em 40% e a revascularização miocárdica em 4%. A taxa livre de eventos hospitalares e tardios foi de 92 e 84,2%, respectivamente. Conclusões: A dissecção espontânea de artéria coronária foi predominante em mulheres jovens, com pelo menos um fator de risco para doença arterial coronariana. A escolha de diferentes estratégias terapêuticas confirma a natureza ainda controversa da abordagem ideal da dissecção espontânea de artéria coronária. Acreditamos que o tratamento ideal ainda seja o individualizado. DESCRITORES: Doença da artéria coronariana. Infarto do mio cárdio. Intervenção coronária percutânea. ABSTRACT Spontaneous Coronary Artery Dissection: Therapeutic Approach and Outcomes of a Consecutive Series of CasesBackground: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and diagnosis is made by necropsy in more than 70% of the cases. Optimal treatment is still uncertain, and the treatment options are percutaneous coronary intervention, coronary artery bypass surgery and me dical therapy. The objective of this study was to evaluate the clinical characteristics, treatment modalities and outcome of a series of cases with spontaneous coronary artery dissection. Methods: Retrospective, single-center study, based on the analysis of the database at a high-complexity cardiology service. Results: We identified 25 patients with spontaneous coronary artery dissection, 56% were female, with a mean age of 48.8 ± 10 years. Only 24% had no risk factor for atherosclerosis and in 92% of the cases, the clinical presentation was of acute coronary syndrome. The left anterior descending artery was the most commonly affected vessel (48,1%) and there was only one case involving multiple vessels. The conservative approach was used in 56%, percutaneous coronary intervention in 40% and coronary artery bypass grafting in 4%. The in-hospital and late event-free survival was 92% and 84.2%, respectively. Con...

show abstract

Recurrent spontaneous coronary artery dissection

Cited by 22 publications

References 21 publications

Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients

Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients

Recurrent spontaneous coronary artery dissection: acute management and literature review

Dissecção Espontânea de Artéria Coronária: Abordagem Terapêutica e Desfechos de Uma Série Consecutiva de Casos

Contact Info

Product

Resources

About