Dowling G P, Buja L M
Arch Pathol Lab Med. 1987 May;111(5):470-2.
Dissection of a coronary artery not associated with aortic dissection or trauma is a rare condition that occurs most frequently in peripartum or postpartum women. It has been suggested that localized periadventitial inflammation, often found adjacent to these lesions, may represent a primary vasculitis which causes dissection. Two cases of spontaneous coronary artery dissection are described, together with a brief review of previously published cases. Based on this review, we conclude that periadventitial inflammation is reactive, rather than primary, in nature.
与主动脉夹层或创伤无关的冠状动脉夹层是一种罕见病症，最常发生于围产期或产后女性。有人提出，在这些病变附近经常发现的局限性外膜周围炎症可能代表一种导致夹层的原发性血管炎。本文描述了两例自发性冠状动脉夹层病例，并简要回顾了既往发表的病例。基于这一回顾，我们得出结论，外膜周围炎症本质上是反应性的，而非原发性的。
