Abstract

LOPERA-MEJIA, Laura et al. Spontaneous coronary artery dissection. CES Med. [online]. 2021, vol.35, n.3, pp.296-304.  Epub Mar 22, 2022. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.6383.

Spontaneous coronary dissection is the separation of layers of the wall of an epicardial coronary artery secondary to intramural bleeding, with or without tear of the intima, not associated with atherosclerosis, trauma or iatrogenia. This condition has emerged as a cause of acute coronary syndrome and acute myocardial infarction in young people, occurring mainly in women, whose prevalence of cardiovascular risk factors is lower compared to acute coronary syndrome due to atherosclerosis. Diagnosis is made with clinical symptoms, exclusion of secondary causes, coronary arteriography and, in some cases, the help of intra- or extravascular images is required. In most cases the management is conservative, with some exceptions where percutaneous or surgical intervention is required. We present the case of a middle-aged male with spontaneous coronary dissection, who presents with an acute myocardial infarction with ST segment elevation.

Keywords : coronary artery dissection; acute coronary syndrome; diagnosis; treatment.

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