Primary spontaneous coronary artery dissections in atherosclerotic patients. Report of nine cases with review of the pertinent literature

• Published in: European journal of cardio-thoracic surgery Vol. 20; no. 3; pp. 573 - 576
• Main Authors: Celik, Sekip K., Sagcan, Abdi, Altintig, Ahmet, Yuksel, Munevver, Akin, Mustafa, Kultursay, Hakan
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Science B.V 01.09.2001; Elsevier Science
• Subjects: Aged; Aneurysm, Dissecting - complications; Aneurysm, Dissecting - diagnostic imaging; Atherosclerosis; Biological and medical sciences; Cardiology. Vascular system; Coronary Aneurysm - complications; Coronary Aneurysm - diagnostic imaging; Coronary Angiography; Coronary artery; Coronary Artery Disease - complications; Coronary Artery Disease - diagnostic imaging; Coronary heart disease; Dissection; Female; Heart; Humans; Male; Medical sciences; Middle Aged; Pregnancy; Pregnancy Complications, Cardiovascular; Risk Factors; Surgery; Dissection; Surgery; Atherosclerosis; Coronary artery; Human; Spontaneous; Cardiovascular disease; Review; Coronary heart disease; Vascular disease; Dissecting aneurysm; Case study; Treatment; Bibliographic review
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/S1010-7940(01)00864-8

Primary spontaneous coronary artery dissection is one of the rare causes of acute myocardial infarction. Previous studies reports that it is mostly seen in middle aged women in the last trimester of pregnancy and early postpartum period. Clinical presentation of the disease is variable in pattern and severity related to extent and development rate of dissection. In the last 2 years, nine non-pregnant primary spontaneous coronary artery dissection cases were found in coronary angiography among 3750 patients prediagnosed as coronary artery disease. The cases were presented and discussed with review of the pertinent literature.