ISSN: 2161-1025
+44 1223 790975
Department of Cardiology, Academic Teaching Hospital, Feldkirch, Austria
Mini Review
Spontaneous Coronary Artery Dissection: Mini-Review
Author(s): Marek M Rogowski*, Christian Eichhorn, Kaffer Kara and Matthias Frick
Spontaneous Coronary Artery Dissection (SCAD) is a rare form of Acute Coronary Syndrome (ACS) affecting
predominantly young non-pregnant females. The primary pathology features a spontaneous tearing event in the
tunica media of a coronary artery wall with subsequent formation of a true and false lumen. This usually leads to
non-atherosclerotic myocardial infarction. The diagnosis must be confirmed by a diagnostic angiography, preferably
with intracoronary imaging such as Optical Coherence Tomography (OCT). Whereas most cases may be treated
conservatively, a coronary intervention remains a safe and effective option in occlusive dissections or when a
considerable amount of myocardium in jeopardy can be seen. The possible interventional techniques involve a
balloon angioplasty, cutting angioplasty, limited wiring and/or stenting. Due to low mortality and good prognos.. View More»
DOI:
10.35248/2161-1025.23.13.306