Chevli Parag, Kelash Fnu, Gadhvi Pragnesh, Grandhi Sreeram, Syed Amer
Department of Internal Medicine, Jersey City Medical Center, Jersey City, NJ, USA.
Carilion Clinic Virginia, Roanoke, VA, USA.
J Community Hosp Intern Med Perspect. 2014 Sep 29;4(4). doi: 10.3402/jchimp.v4.25104. eCollection 2014.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction that is more common in younger patients (under age 50) and in women. Although the etiology is not known, some predisposing conditions to SCAD are well known and include Marfan syndrome, pregnancy and peripartum state, drug abuse, and some anatomical abnormalities of the coronary arteries such as aneurysms and severe kinking. We describe a case of SCAD in a young woman who presented with sudden onset of chest pain and was admitted for the treatment of acute coronary syndrome. The coronary angiography showed dissection of the left anterior descending artery. The patient underwent successful percutaneous transluminal coronary angioplasty and stent placement.
自发性冠状动脉夹层（SCAD）是急性心肌梗死的一种罕见病因，在年轻患者（50岁以下）和女性中更为常见。虽然病因尚不清楚，但一些SCAD的易感因素是众所周知的，包括马凡综合征、妊娠和围产期状态、药物滥用以及冠状动脉的一些解剖异常，如动脉瘤和严重扭曲。我们描述了一例年轻女性SCAD病例，该患者突发胸痛，因急性冠状动脉综合征入院治疗。冠状动脉造影显示左前降支动脉夹层。患者接受了成功的经皮冠状动脉腔内血管成形术和支架置入术。
