Spontaneous Coronary Artery Dissection: Case Series from a Tertiary Centre

• Published in: Heart, lung & circulation Vol. 25; no. 3; pp. e41 - e45
• Main Authors: Anderson, Robert D., MBBS, Jayadeva, Pavithra S., MBBS, Wilson, William M., MBBS, FRACP, Iyer, Ravi, MBBS, FRACP
• Format: Journal Article
• Language: English
• Published: Australia Elsevier B.V 01.03.2016
• Subjects: Acute Coronary Syndrome - complications; Acute Coronary Syndrome - diagnostic imaging; Acute Coronary Syndrome - therapy; Cardiovascular; Coronary Vessel Anomalies - diagnostic imaging; Coronary Vessel Anomalies - etiology; Coronary Vessel Anomalies - therapy; Female; Fibromuscular dysplasia; Humans; Male; Middle Aged; Myocardial infarction; Spontaneous coronary artery dissection; Tertiary Care Centers; Vascular Diseases - congenital; Vascular Diseases - diagnostic imaging; Vascular Diseases - etiology; Vascular Diseases - therapy; Myocardial infarction; Fibromuscular dysplasia; Spontaneous coronary artery dissection
• ISSN: 1443-9506; 1444-2892
• DOI: 10.1016/j.hlc.2015.10.006

Spontaneous coronary artery dissection (SCAD) is a rare cause of non-atherosclerotic acute coronary syndrome (ACS). As it is more commonly seen in young women, the diagnosis can be missed. Current evidence is based on case reports and retrospective studies with no consensus recommendations on immediate management and long-term follow-up. We present a case series of four patients to outline clinical presentation, prognosis and long-term management of this rare clinical entity.