Thayer J O, Healy R W, Maggs P R
Ann Thorac Surg. 1987 Jul;44(1):97-102. doi: 10.1016/s0003-4975(10)62372-7.
Spontaneous coronary artery dissection is a rare event that occurs most commonly in young, otherwise healthy women. Approximately 85 cases have been reported in the world literature. Dissection of the left main coronary artery is even less common; only 18 cases have been reported. This review discusses the incidence, presentation, pathogenesis, and management of spontaneous coronary artery dissection. The case of another patient with left main coronary artery dissection is described; to our knowledge, it is the first to be successfully treated by internal mammary artery bypass grafting.
自发性冠状动脉夹层是一种罕见的事件，最常发生在年轻、其他方面健康的女性身上。世界文献中已报道了约85例病例。左主干冠状动脉夹层更为罕见；仅报道了18例。本文综述了自发性冠状动脉夹层的发病率、临床表现、发病机制及治疗方法。文中描述了另一例左主干冠状动脉夹层患者的病例；据我们所知，这是首例通过乳内动脉搭桥术成功治疗的病例。
