Spontaneous coronary artery dissection (SCAD): about 2 cases

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS); its prevalence is estimated to be less than 3%. It is defined as a separation within the coronary arterial wall secondary to intramural bleeding with or without intimal tear, creating a false channel. It...

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Published inThe Pan African medical journal Vol. 28; p. 164
Main Authors Elkasimi, Abdelouahab, Elouazzani, Ghizlane, Hbali, Anas, Ismaili, Nabila, Elouafi, Nouha
Format Journal Article
LanguageFrench
Published Uganda 2017
Subjects
Acute Coronary Syndrome - etiology
Aged
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - therapy
Coronary Vessels - pathology
Humans
Male
Vascular Diseases - complications
Vascular Diseases - congenital
Vascular Diseases - diagnosis
Vascular Diseases - therapy
atherosclerosis
Spontaneous coronary dissection
acute coronary syndrome
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Summary:Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS); its prevalence is estimated to be less than 3%. It is defined as a separation within the coronary arterial wall secondary to intramural bleeding with or without intimal tear, creating a false channel. It mainly affects young subjects, mainly women, without coronary atherosclerosis or risk factors for atherosclerosis. However, the occurrence of spontaneous dissection due to atheromatous disease is possible. We here report 2 cases of spontaneous coronary dissection, in order to discuss its pathogenesis, factors favoring its occurrence, its clinical presentation and its therapeutic management.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2017.28.164.9870