Marraki Zakaria El, Mounaouir Karim, Marcolet Pierre, Halet Nassim, Didot Valerian, Dechery Thierry
Department of Cardiac Intensive Care, Faculty of Medicine and Pharmacy, Tours, France.
Department of Cardiac Intensive Care, Faculty of Medicine and Pharmacy, Casablanca, Morocco.
Radiol Case Rep. 2024 Jan 17;19(4):1457-1462. doi: 10.1016/j.radcr.2023.12.048. eCollection 2024 Apr.
Spontaneous coronary artery dissection is a rare etiology of acute coronary syndrome and falls into the category of myocardial infarction with no obstructive coronary arteries. It occurs mainly in young women with no cardiovascular risk factors. Diagnosis is often made by coronary angiography and sometimes by endocoronary imaging. the association of coronary dissection and ACS is rare, especially in men. The management is poorly codified and depends mainly on the habits of the practitioner, and may be medical, percutaneous or surgical. the outcome is often favorable, but sometimes there is a risk of recurrence with a guarded prognosis. In this context, we report the case of a 43-year-old patient with antecedent spontaneous coronary dissection, admitted to our unit for the management of acute coronary syndrome following recurrent coronary dissection.
自发性冠状动脉夹层是急性冠状动脉综合征的一种罕见病因，属于非阻塞性冠状动脉心肌梗死范畴。它主要发生在无心血管危险因素的年轻女性中。诊断通常通过冠状动脉造影进行，有时也通过冠状动脉内成像。冠状动脉夹层与急性冠状动脉综合征的关联罕见，尤其是在男性中。治疗方法尚未明确规范，主要取决于从业者的习惯，可能是药物治疗、经皮治疗或手术治疗。预后通常良好，但有时存在复发风险，预后不确定。在此背景下，我们报告一例43岁有自发性冠状动脉夹层病史的患者，因复发性冠状动脉夹层导致急性冠状动脉综合征入住我们科室接受治疗。
