Kalra Nishant, Greenblatt Jeff, Ahmed Syed
Int J Cardiol. 2008 Sep 26;129(2):e53-5. doi: 10.1016/j.ijcard.2007.06.118. Epub 2007 Sep 12.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and has been described in young women during the peripartum period. Management of these patients has been controversial. A 35 year old Caucasian female, 11 days postcesarean section delivery presented with acute myocardial infarction. She underwent angiography within a few hours of presentation, which showed dissection of LAD. Repeat angiography six days later showed improvement of dissection. Patient showed clinical improvement on conservative treatment and no recurrence of symptoms over the past two years follow-up. There is no consensus on the treatment and our case is one of the cases managed successfully with conservative treatment.
自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征的一种罕见病因，在围产期的年轻女性中已有报道。这些患者的治疗一直存在争议。一名35岁的白种女性，剖宫产术后11天出现急性心肌梗死。她在就诊后几小时内接受了血管造影，显示左前降支夹层。六天后重复血管造影显示夹层有所改善。患者经保守治疗后临床症状改善，在过去两年的随访中未出现症状复发。对于治疗尚无共识，我们的病例是成功采用保守治疗的病例之一。
