Rusali Constantin Andrei, Cojocaru Lucia, Lupu Ioana Caterina, Uzea Cezar-Dan, Rusali Maria Lavinia
Department of Cardiology, Constanta County Clinical and Emergency Hospital, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, Romania.
Department of Cardiology, Constanta County Clinical and Emergency Hospital, 145 Tomis Boulevard, 900591 Constanta, Romania.
Diagnostics (Basel). 2024 Dec 29;15(1):61. doi: 10.3390/diagnostics15010061.
Spontaneous coronary artery dissection is a rare cause of unstable angina, myocardial infarction, and sudden cardiac death, particularly among young women and individuals without conventional atherosclerotic risk factors. We present the case of a 43-year-old woman who had spontaneous coronary artery dissection involving the left main with extension to left anterior descending artery and left circumflex artery. She was ultimately managed medically, with a good outcome. Spontaneous coronary artery dissection is a unique and intricate condition that demands advanced diagnostic techniques and tailored management strategies. Greater awareness and advancements in imaging technologies have enhanced the detection and understanding of spontaneous coronary artery dissection. However, continued research is crucial to resolving outstanding uncertainties and optimizing patient outcomes.
自发性冠状动脉夹层是不稳定型心绞痛、心肌梗死和心源性猝死的罕见原因，尤其在年轻女性和无传统动脉粥样硬化危险因素的个体中。我们报告一例43岁女性患者，其发生自发性冠状动脉夹层，累及左主干并延伸至左前降支和左旋支。她最终接受药物治疗，效果良好。自发性冠状动脉夹层是一种独特且复杂的病症，需要先进的诊断技术和量身定制的管理策略。对成像技术的更多认识和进步提高了对自发性冠状动脉夹层的检测和理解。然而，持续研究对于解决悬而未决的不确定性和优化患者预后至关重要。
