Masood Quratulain Fatima, Asad Ali, Tariq Syed Maaz, Javaid Saad, Khalil Muhammad H, Hussain Fiaz
Surgery, National University of Science and Technology, Rawalpindi, PAK.
Pediatric Surgery, University of Health Sciences, Lahore, PAK.
Cureus. 2018 Jul 1;10(7):e2902. doi: 10.7759/cureus.2902.
Spontaneous coronary artery dissection (SCAD) is one of the rarest causes of acute coronary syndromes, which include myocardial infarction (MI), stable and unstable angina, cardiogenic shock, and sudden death. The course of the disease, its etiology, prevalence, prognosis, and treatment remain ill-defined. Adding to the complexity is the fact that patients may lack typical risk factors for coronary heart disease. Herein, we report a case of a 42-year-old woman with vitamin B12 deficiency, who presented with chest pain; electrocardiography (ECG) findings were consistent with the acute anterior wall MI. Cardiac catheterization was done, which showed a very large left anterior descending (LAD) artery dissection.
自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征最罕见的病因之一，急性冠状动脉综合征包括心肌梗死（MI）、稳定型和不稳定型心绞痛、心源性休克及猝死。该病的病程、病因、患病率、预后及治疗仍不明确。患者可能缺乏冠心病的典型危险因素这一事实更增加了其复杂性。在此，我们报告一例42岁维生素B12缺乏的女性患者，她因胸痛就诊；心电图（ECG）结果与急性前壁心肌梗死相符。进行了心导管检查，结果显示左前降支（LAD）动脉存在非常大的夹层。
