Joo Joseph H, Caldera Angel E, Divakaran Vijay G
College of Medicine, Texas A&M UniversityRound RockTexas.
Section of Cardiology, Baylor Scott & White Medical CenterRound RockTexas.
Proc (Bayl Univ Med Cent). 2018 Dec 20;32(1):99-100. doi: 10.1080/08998280.2018.1507974. eCollection 2019 Jan.
Spontaneous coronary artery dissection (SCAD) is a rare, nonatherosclerotic cause of acute coronary syndrome. The etiology is unclear, and optimal treatment for SCAD remains undefined. We describe a patient with significant cardiovascular risk factors who presented with SCAD resulting in anterior wall acute myocardial infarction with left ventricular thrombus. The patient was managed conservatively with anticoagulant and antiplatelet therapy.
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的、非动脉粥样硬化性病因。其病因尚不清楚，SCAD的最佳治疗方法仍未明确。我们描述了一名有显著心血管危险因素的患者，该患者因SCAD导致前壁急性心肌梗死并伴有左心室血栓形成。该患者接受了抗凝和抗血小板治疗的保守治疗。
