Gunes Hakan, Kucukdurmaz Zekeriya, Seker Emrah, Kurt Recep, Salk Ismail, Karapınar Hekim
Cardiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
Radiology Department, Cumhuriyet University Medical School, Sivas, Turkey.
Postepy Kardiol Interwencyjnej. 2013;9(1):111-3. doi: 10.5114/pwki.2013.34038. Epub 2013 Mar 21.
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Spontaneous coronary artery dissection can cause stable angina pectoris, unstable angina pectoris, acute myocardial infarction, cardiogenic shock and sudden cardiac death. It usually occurs in young to middle aged women. Atherosclerosis, peripartum period, and structural and inflammatory diseases affecting the artery wall are predisposing factors. It shows similar clinical presentation to coronary artery disease. Diagnosis and early treatment decrease mortality. Treatment options are medical treatment, percutaneous coronary intervention and surgery. The treatment decision is made according to the clinical presentation of the patient, the affected coronary artery and the length of the dissected segment. Diagnosis of the disease is usually made by coronary angiography. We present a patient who consulted our clinic with atypical chest pain and was diagnosed with spontaneous left anterior descending dissection by coronary computed tomography angiography.
自发性冠状动脉夹层是急性冠状动脉综合征的一种罕见病因。自发性冠状动脉夹层可导致稳定型心绞痛、不稳定型心绞痛、急性心肌梗死、心源性休克和心源性猝死。它通常发生在中青年女性中。动脉粥样硬化、围产期以及影响动脉壁的结构和炎症性疾病是诱发因素。其临床表现与冠状动脉疾病相似。诊断和早期治疗可降低死亡率。治疗选择包括药物治疗、经皮冠状动脉介入治疗和手术治疗。治疗决策根据患者的临床表现、受累冠状动脉以及夹层段的长度来做出。该疾病的诊断通常通过冠状动脉造影进行。我们报告一位因非典型胸痛前来我院就诊的患者，经冠状动脉计算机断层扫描血管造影诊断为自发性左前降支夹层。
