Zghouzi Mohamed, Moussa Pacha Homam, Sattar Yasar, Alraies M Chadi
Internal Medicine, Detroit Medical Center, Detroit, USA.
Cardiovascular Disease, University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Cureus. 2021 Mar 4;13(3):e13706. doi: 10.7759/cureus.13706.
Spontaneous coronary artery dissection (SCAD) is a rare but serious condition that requires immediate attention. It has a similar presentation to acute coronary syndrome in terms of chest pain, electrocardiogram changes, and an increase in troponins, and is considered to be a significant cause of myocardial infarction. Coronary angiography is needed to confirm the diagnosis, and subsequent repair should be pursued when needed. We describe a case of SCAD in a 72-year-old female treated using the cutting balloon angioplasty technique to create communication between the true and false lumens.
自发性冠状动脉夹层(SCAD)是一种罕见但严重的疾病,需要立即引起关注。在胸痛、心电图改变和肌钙蛋白升高方面,它与急性冠状动脉综合征有相似的表现,被认为是心肌梗死的一个重要原因。需要进行冠状动脉造影以确诊,必要时应进行后续修复。我们描述了一例72岁女性的SCAD病例,采用切割球囊血管成形术在真假腔之间建立通道进行治疗。