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Published on: March 28, 2025
Spontaneous coronary artery dissection: one entity with several therapeutic options
Julien Wain-Hobson1, Vincent Roule, Ziad Dahdouh
1Department of Cardiology, University Hospital of Caen, 14033 Caen Cedex, France.
Summary
Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attack. This study presents four cases, highlighting varied treatments from medication to surgery, emphasizing the need for prompt recognition and management.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and sudden cardiac death.
- Predisposing factors are numerous, yet specific treatment guidelines remain underdeveloped.
- Early identification is critical for effective patient management.
Observation:
- This report details four cases of SCAD presenting with ST-elevation.
- Three cases involved women in the postpartum period.
- One case was associated with Marfan syndrome.
Findings:
- The cases illustrate a spectrum of clinical presentations and outcomes.
- Therapeutic interventions ranged from conservative medical management to revascularization procedures.
- Treatment options included medical therapy, percutaneous coronary intervention (stenting), and coronary artery bypass graft surgery.
Implications:
- The findings underscore the importance of considering SCAD in patients with ACS, particularly in specific demographics like postpartum women or those with connective tissue disorders.
- The diverse treatment approaches highlight the lack of standardized protocols and the need for further research.
- Further investigation into optimal management strategies for SCAD is warranted to improve patient outcomes.
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