Sakai Koyu, Kobayashi Yohei, Shirai Shinichi, Ando Kenji
Department of Cardiology, Kitakyushu Municipal Yahata Hospital.
Department of Cardiovascular Center, Osaka Red Cross Hospital.
Int Heart J. 2018 Mar 30;59(2):403-406. doi: 10.1536/ihj.17-137. Epub 2018 Mar 20.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and little is known about characteristics, treatment, and follow-up of patients with SCAD. Computed tomography angiography (CTA) plays an important role in the diagnosis and management of SCAD. Herein, we describe a case of a patient with SCAD who underwent successful conservative management, and in whom CTA was able to detect rapid healing of the dissection, 4.5 hours post-dissection.
自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征的一种罕见病因,人们对SCAD患者的特征、治疗及随访了解甚少。计算机断层扫描血管造影(CTA)在SCAD的诊断和管理中发挥着重要作用。在此,我们描述一例SCAD患者,该患者接受了成功的保守治疗,并且CTA能够在夹层形成后4.5小时检测到夹层的快速愈合。