Department of Cardiology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
BMC Cardiovasc Disord. 2024 Aug 27;24(1):451. doi: 10.1186/s12872-024-04124-2.
Spontaneous Coronary Artery Dissection (SCAD) is an acute coronary event of uncertain origin. SCAD occurs when the coronary artery wall dissects non-traumatically and non-atherosclerotically, leading to the formation of an intramural hematoma or intimal tear, ultimately compressing and restricting the true lumen, or even occluding it. The management of SCAD remains controversial despite modern imaging techniques. In addition to supportive drug therapy, percutaneous coronary intervention (PCI) is another option that can be used as an effective treatment modality.
We describe A 50-year-old male with SCAD presented to the hospital emergency department complaining of chest pain. Coronary angiography incidentally showed spiral dissection from the proximal to distal right coronary artery (RCA). Three overlapping coroflex stents were deployed from the distal to the proximal RCA.
To stabilize the coronary artery in Acute Coronary Syndrome (ACS) patients due to SCAD, prompt interventions such as stenting and angioplasty are needed. However, it is necessary to pay attention to the clinical condition of patients and quick diagnosis for the recovery of patients and reduction of complications.
自发性冠状动脉夹层（SCAD）是一种起源不明的急性冠状动脉事件。SCAD 发生时，冠状动脉壁非创伤性、非动脉粥样硬化性撕裂，导致形成壁内血肿或内膜撕裂，最终压迫和限制真腔，甚至闭塞。尽管有现代影像学技术，但 SCAD 的治疗仍存在争议。除了支持药物治疗外，经皮冠状动脉介入治疗（PCI）也是另一种选择，可以作为有效的治疗方式。
我们描述了一位 50 岁男性 SCAD 患者，因胸痛就诊于医院急诊。冠状动脉造影显示从右冠状动脉（RCA）近端到远端螺旋状夹层。从 RCA 远端到近端共置入三个重叠的 coroflex 支架。
对于因 SCAD 导致的急性冠状动脉综合征（ACS）患者，需要及时进行支架置入和血管成形术等稳定冠状动脉的介入治疗。但需要注意患者的临床状况，快速诊断，以促进患者的恢复并减少并发症。
