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Gen Thorac Cardiovasc Surg. 2009 Oct;57(10):540-3. doi: 10.1007/s11748-009-0416-2. Epub 2009 Oct 16.

Spontaneous coronary artery dissection.

Author information

1
Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. kareemsal@doctors.org.uk

Abstract

Spontaneous coronary artery dissection (SCAD) is a relatively rare but important cause of acute coronary syndrome. The diagnosis is often made at autopsy. Risk factors include the peripartum period, oral contraceptive use, and atherosclerotic disease. SCAD must be considered every time a healthy young patient presents with an onset of acute myocardial ischemic syndrome. A timely diagnosis and intervention are mandatory as SCAD can cause sudden death. We describe two cases of SCAD, both treated successfully with emergency coronary artery bypass grafting using left internal mammary and radial arteries in the first case and the left internal mammary artery only for the second case.

PMID:
19830517
DOI:
10.1007/s11748-009-0416-2
[Indexed for MEDLINE]
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