title: Asymptomatic spontaneous coronary artery dissection.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia that could present as angina, acute myocardial infarction, or even sudden death. It occurs more commonly in women and it has been associated with autoimmune and collagen vascular diseases. The management and prognosis in these patients depend on the initial clinical presentation and the extent of dissection. In this article, we report 2 cases of asymptomatic SCAD that were diagnosed on routine preoperative evaluation. The management options and clinical implications are discussed.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon. hd01@aub.edu.lb
authors.forename: Habib A
authors.initials: HA
authors.lastname: Dakik
authors.forename: Gilbert Abou
authors.initials: GA
authors.lastname: Nader
authors.forename: Wajih A
authors.initials: WA
authors.lastname: Arja
authors.forename: Jaber
authors.initials: J
authors.lastname: Sawaya
authors.forename: Walid
authors.initials: W
authors.lastname: Gharzuddine
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000628:therapy; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D055414:Myocardial Perfusion Imaging; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents; D016896:Treatment Outcome
chemical_list: D010975:Platelet Aggregation Inhibitors