Successful treatment of long spontaneous coronary dissection with medical management: Not to intervene

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and optimal therapy has not been well-defined. We present a case of long SCAD with complete healing due to medical management. A 47-year-old woman presented to emergency department because of sudden o...

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Bibliographic Details
Published in:The Egyptian heart journal 2013-12, Vol.65 (4), p.333-336
Main Authors: Ari, Hatem, Avci, Ahmet, Demir, Kenan, Altunkeser, Bulent Behlul
Format: Article
Language:English
Subjects:
Coronary artery disease
Medical management
Spontaneous coronary artery dissection
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Summary:Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and optimal therapy has not been well-defined. We present a case of long SCAD with complete healing due to medical management. A 47-year-old woman presented to emergency department because of sudden onset of typical chest pain. Electrocardiogram (ECG) showed minimal ST-segment elevation in leads V1–V4. Coronary angiography showed a long spiral dissection extending from the middle segment to the distal segment of the left anterior descending artery and TIMI flow grade three. We decided to follow-up with medical management and have control angiography unless hemodynamic instability and chest pain emerged. Control angiography displayed complete healing of dissect segment after six months. SCAD should be considered, especially in women who present with an ACS without a history of cardiovascular disease and risk factor. This report offers the idea that medical management can be a choice even if in the long segment SCAD setting.
ISSN:1110-2608
2090-911X
DOI:10.1016/j.ehj.2013.03.002