Iltumur Kenan, Karahan Zulkuf, Ozmen Sehmus, Danis Ramazan, Toprak Nizamettin
Int J Cardiol. 2008 Jul 4;127(2):e45-7. doi: 10.1016/j.ijcard.2007.01.105. Epub 2007 Apr 30.
Spontaneous coronary dissection (SCAD) is an unusual cause of acute myocardial infarction with complex pathophysiology. We present a case of acute inferior myocardial infarction resulting from spontaneous coronary artery dissection of the right coronary artery in a 33-year-old woman during the hemodialysis due to a recent abortion and consequent curettage at first trimester of her pregnancy. This report describes a previously healthy woman without traditional cardiovascular risk factors who presented with an acute inferior myocardial infarction. Spontaneous coronary artery dissection (SCAD) should be considered as a cause of the acute myocardial infarction in young patients without traditional risk factors for coronary artery disease, in females in the both peri-partum and post-abortion period.
自发性冠状动脉夹层（SCAD）是急性心肌梗死的一种不常见病因，其病理生理过程复杂。我们报告一例33岁女性在因近期流产及孕早期刮宫后进行血液透析期间，因右冠状动脉自发性冠状动脉夹层导致急性下壁心肌梗死的病例。本报告描述了一名既往健康、无传统心血管危险因素的女性，她出现了急性下壁心肌梗死。对于无冠状动脉疾病传统危险因素的年轻患者，以及处于围产期和流产后的女性，应考虑自发性冠状动脉夹层（SCAD）为急性心肌梗死的病因。
