Spontaneous Coronary Artery Dissection in a Woman: Surgical Treatment and Angiographic Follow-Up

Pavlopoulos, Dionysios; Hamilos, Michalis; Kalogerakos, Paris; Kampitakis, Emmanouil; Tsipas, Pantelis; Kokotsakis, John; Lazopoulos, George

doi:10.1016/j.athoracsur.2018.03.026

Cited by 2 publications

(2 citation statements)

References 7 publications

(9 reference statements)

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“…Coronary artery bypass grafting (CABG) is commonly used as a rescue strategy in failure of PCI for SCAD patients (24,26). In case of diffuse left main dissection the literature on the CABG approach is limited by clinical cases.…”

Section: Methodsmentioning

confidence: 99%

Brief Summary of Pathogenesis, Diagnosis and Management of Spontaneous Coronary Artery Dissection

Rėkus¹,

Jaruševičius²

2020

Health Sciences

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Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). It was first described 80 years ago. Pathogenetic mechanisms are most likely to be associated with intimas tear or bleeding vasa-vasorum, which resulting in intramural haemorrhage. SCAD typically occurs in young women who do not have coronary heart disease risk factors and who have acute coronary syndrome. Half of all SCAD presents with ST – elevation myocardial infarction (STEMI), while the rest with non – ST – elevation myocardial infarction (NSTEMI). The gold standard method for diagnosis is interventional coronary artery angiography. After the acute ischemic onset syndrome, most patients have a stable, benign clinical course, and eventually experience spontaneous vessel wall healing. Therefore, conservative treatment (a watchful strategy) is recommended as the initial treatment. For the majority of cases as interventional and surgical treatment in most cases seems to be suboptimal. In this extremely complex situation, several novel and attractive coronary interventions have been proposed. The risk factors, pathogenesis theories, diagnosis, management, prognosis of SCAD will be summarized in this review.

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Section: Methodsmentioning

confidence: 99%

Brief Summary of Pathogenesis, Diagnosis and Management of Spontaneous Coronary Artery Dissection

Rėkus¹,

Jaruševičius²

2020

Health Sciences

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“…Women are mostly affected (>70%). (1) Two mechanisms describe SCAD: a "primary" rupture of coronary endothelium with resultant dissection of the coronary artery wall or the rupture of the "vasa vasorum" with formation of an intramural hematoma (IMH). According to angiographic findings, there are three types of SCAD.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Type A Aortic Dissection After Percutaneous Coronary Intervention in a Patient with Acute Myocardial Infarction Due to a Spontaneous Coronary Artery Dissection

Makrygianni¹,

Rorris²,

Kokotsaki³

et al. 2021

Preprint

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Type A aortic dissection after percutaneous coronary intervention is a rare and life-threatening situation. The reported incidence ranges from 0,02% to 0,6% of all diagnostic and interventional percutaneous procedures. We describe a case of aortic dissection after percutaneous coronary intervention in a patient with acute myocardial infarction from spontaneous coronary artery dissection. The patient was initially treated with primary percutaneous coronary intervention of the affected left coronary artery branches and left main coronary artery. Conservative management for the aortic dissection proved inadequate due to increasing diameter of the false lumen and the patient was referred to our cardiovascular unit for definite surgical management.

show abstract

Spontaneous Coronary Artery Dissection in a Woman: Surgical Treatment and Angiographic Follow-Up

Cited by 2 publications

References 7 publications

Brief Summary of Pathogenesis, Diagnosis and Management of Spontaneous Coronary Artery Dissection

Brief Summary of Pathogenesis, Diagnosis and Management of Spontaneous Coronary Artery Dissection

Surgical Management of Type A Aortic Dissection After Percutaneous Coronary Intervention in a Patient with Acute Myocardial Infarction Due to a Spontaneous Coronary Artery Dissection

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