Y-Hassan Shams, Abdula Goran, Böhm Felix
Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, 14152 Stockholm, Sweden.
Department of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, 14152 Stockholm, Sweden.
Rev Cardiovasc Med. 2022 Oct 27;23(11):367. doi: 10.31083/j.rcm2311367. eCollection 2022 Nov.
Spontaneous coronary artery dissection (SCAD) is a non-traumatic, non-iatrogenic, and non-atherosclerotic separation or dissection of the coronary arterial wall by the formation of an intramural hematoma causing a false lumen leading to compression of the true lumen with a varying degree of coronary blood flow obstruction. One of the important and frequent complications of the disease is the in-hospital and long-term SCAD recurrence. SCAD associated with takotsubo syndrome (TS) has been described in case reports, series of cases and in some studies. Some investigators believe that the association of SCAD and TS is a misdiagnosis. The association of SCAD and fibromuscular dysplasia (FMD) has received major attention during the last 10 years. In this report, the short and long-term SCAD recurrence, SCAD association with TS and FMD are reviewed and demonstrated with illustrative images.
自发性冠状动脉夹层（SCAD）是一种非创伤性、非医源性且非动脉粥样硬化性的冠状动脉壁分离或夹层，由壁内血肿形成导致假腔，进而压迫真腔，造成不同程度的冠状动脉血流阻塞。该疾病重要且常见的并发症之一是院内及长期SCAD复发。病例报告、系列病例及一些研究中已描述了与Takotsubo综合征（TS）相关的SCAD。一些研究者认为SCAD与TS的关联是误诊。在过去10年中，SCAD与纤维肌性发育异常（FMD）的关联受到了主要关注。在本报告中，对SCAD的短期和长期复发、SCAD与TS及FMD的关联进行了综述，并用示例图像进行了展示。
