Cini Roberto, Iezzi Federica, Sordini Paolo, Pasceri Vincenzo
Department of Cardiovascular, Division of Cardiac Surgery, San Filippo Neri Hospital, Rome, Italy.
Interact Cardiovasc Thorac Surg. 2008 Oct;7(5):943-4. doi: 10.1510/icvts.2008.182345. Epub 2008 Jul 9.
Spontaneous coronary artery dissection is a rare and generally fatal disease. A review of the literature demonstrates that the aetiopathogenesis of the disease is unknown and that the histology is rarely described. It usually occurs in young women during the post-partum period or while taking oral contraceptives. The treatment depends on the clinical presentation and the results of the angiography. We report here a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory which which occurred in a 43-year-old woman.
自发性冠状动脉夹层是一种罕见且通常致命的疾病。文献综述表明，该疾病的病因发病机制尚不清楚，且组织学描述很少。它通常发生在产后或服用口服避孕药的年轻女性中。治疗取决于临床表现和血管造影结果。我们在此报告一例43岁女性发生的左主干冠状动脉自发性夹层，并延伸至左冠状动脉区域的病例。
