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Spontaneous coronary artery dissection: management options in the stent era
George V Moukarbel1, Samir E Alam
1Division of Cardiology, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Insights
Spontaneous coronary artery dissection (SCAD) is a rare condition affecting women. This case study shows successful treatment of SCAD using coronary stenting, with a review of existing literature.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Spontaneous coronary artery dissection (SCAD) is an uncommon cause of heart obstruction.
- It predominantly affects women of childbearing age.
- The underlying causes and best treatments for SCAD remain unclear.
Observation:
- A case of SCAD in a woman of childbearing age is presented.
- The patient's SCAD was successfully managed with coronary stenting.
Findings:
- Coronary stenting proved to be an effective treatment for this SCAD case.
- A review of published literature supports stenting as a viable option for SCAD.
Implications:
- This case highlights the potential of coronary stenting for SCAD treatment.
- Further research into SCAD pathogenesis and treatment is warranted.
Abstract:
Spontaneous coronary artery dissection (SCAD) is a rare cause of coronary obstruction, usually affecting women in the childbearing age. Pathogenetic mechanisms are elusive, and optimal treatment is not established. We describe a case of spontaneous coronary artery dissection that was successfully treated by coronary stenting. The published literature regarding the outcome of this modality of treatment in patients with SCAD is reviewed. A patient with spontaneous coronary artery dissection treated by stenting is described along with a review of the published literature regarding treatment of similar patients.
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