title: Unique spontaneous unhealed chronic multivessel coronary artery dissection in an elderly man: a case report and review of the literature.
abstract: Spontaneous coronary artery dissection (SCAD) is relatively uncommon. It often occurs in healthy, middle-aged women without overt risk factors for atherosclerosis and is associated with the peripartum period. The pattern and severity of presentation are variable. There are only 5 reports in the literature about multivessel involvement. The etiopathogenesis of SCAD is unclear. Treatment strategy is not standard but is usually tailored to clinical features. Long-term survival of patients with SCAD who have had no problem at the initial event is good. The authors report the first case of unhealed chronic multivessel SCAD in the literature.
authors.affiliation: Faculty of Medicine, Department of Cardiology, Zonguldak Karaelmas University, Turkey. ozerenali@hotmail.com
authors.forename: Ali
authors.initials: A
authors.lastname: Ozeren
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aydin
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bilge
authors.forename: Metin
authors.initials: M
authors.lastname: Gürsürer
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ozkökeli
authors.forename: Irfan
authors.initials: I
authors.lastname: Peksoy
mesh_terms: D000784:Aortic Dissection / Q000628:therapy*; D002908:Chronic Disease; D003323:Coronary Aneurysm / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged