Medikal Tedavi ile İyileşen Yaygın, İdiyopatik, Tekrarlayan Spontan Koroner Arter Diseksiyonu

• Published in: Duzce medical journal Vol. 23; no. 3; pp. 323 - 326
• Main Authors: Fahri Çakan, Adem Adar, Orhan Onalan, Ertan Akbay
• Format: Journal Article
• Language: English
• Published: Duzce University 01.12.2021
• Subjects: acute coronary syndrome; akut koroner sendrom; coronary artery disease; koroner arter hastalığı; spontan koroner arter diseksiyonu; spontaneous coronary artery dissection
• ISSN: 1307-671X
• DOI: 10.18678/dtfd.969720

Spontaneous coronary artery dissection is a rare cause of sudden cardiac death and acute coronary syndrome, and mainly affects young female. Treatment of this condition depends on the clinical features, hemodynamic and angiographic findings of the patient, but due to the rarity of the disease, guideline support was insufficient until the last period. Depending on the condition of the patient and the coronary blood flow, medical observation, percutaneous coronary intervention or coronary artery bypass graft surgery are used in the treatment. We present a young female patient who underwent emergency coronary artery bypass graft surgery after spontaneous left main coronary artery dissection four years ago and was recently diagnosed with extensive spontaneous coronary artery dissection in her right coronary artery. After the diagnosis, the patient was given medical treatment and recovered completely.