Asrar Ul Haq Muhammad, Mutha Vivek, van Gaal William J
Department of Cardiology, The Northern Hospital, Melbourne, Australia.
BMJ Case Rep. 2013 Oct 24;2013:bcr2013201142. doi: 10.1136/bcr-2013-201142.
Spontaneous coronary artery dissection (SCAD) involving multiple coronary arteries simultaneously is extremely rare. It should be considered in younger patients, especially who do not have traditional cardiac risk factors. We present a case of young male patient presenting with acute coronary syndrome associated with ST segments elevation on ECG following physical stress whose coronary angiography revealed SCAD of the left anterior descending as well as the right coronary artery and discuss the therapeutic options with a brief review of the limited evidence.
同时累及多条冠状动脉的自发性冠状动脉夹层（SCAD）极为罕见。对于年轻患者，尤其是没有传统心脏危险因素的患者，应考虑此病。我们报告一例年轻男性患者，在身体应激后出现急性冠状动脉综合征，心电图显示ST段抬高，冠状动脉造影显示左前降支以及右冠状动脉均有SCAD，并结合有限证据的简要回顾讨论治疗选择。
