Department of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey.
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):113-6. doi: 10.1002/ccd.23255. Epub 2011 Dec 8.
Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia. Multivessel SCAD is much rarer than single vessel involvement and acute coronary syndrome remains the most common clinical presentation of a patient with SCAD. It predominantly occurs in association with atherosclerosis or in the absence of atherosclerosis. We, hereby, present a case of spontaneous multivessel coronary artery dissection in a 35-year-old male patient presenting with chest pain and ventricular tachycardia following emotional stress and discuss the etiology and treatment options.
自发性冠状动脉夹层 (SCAD) 是心肌缺血的罕见原因。多支血管 SCAD 比单支血管受累更为罕见,急性冠状动脉综合征仍然是 SCAD 患者最常见的临床表现。它主要与动脉粥样硬化有关,或在没有动脉粥样硬化的情况下发生。我们在此报告一例 35 岁男性患者在情绪压力后出现胸痛和室性心动过速的自发性多支冠状动脉夹层病例,并讨论其病因和治疗选择。