title: Spontaneous coronary dissection and its long-term prognostic implications in a cohort of 19 cases.
abstract: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. It mainly affects women with no significant cardiovascular risk factors and its presentation varies from unstable angina to sudden death. Knowledge of the condition is based only on individual case reports and the lack of large case series means that its treatment and prognostic implications have not been fully established. We present data on 19 instances of spontaneous coronary artery dissection in 18 patients who were treated at our center between May 1998 and January 2009. The median follow-up period was 3.8 years (interquartile range: 1.3-4.6 years). Once the acute phase had passed, the prognosis was favorable and there were no implications for functioning. One patient presented with a relapse in another coronary artery and another patient gave birth without complications 3 years after the dissection.
authors.affiliation: Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Virgen del Rocío, Sevilla, España. niemed21@hotmail.com
authors.forename: Nieves
authors.initials: N
authors.lastname: Romero-Rodríguez
authors.forename: Mónica
authors.initials: M
authors.lastname: Fernández-Quero
authors.forename: Manuel
authors.initials: M
authors.lastname: Villa Gil-Ortega
authors.forename: José Angel
authors.initials: JA
authors.lastname: Urbano del Moral
authors.forename: Sara
authors.initials: S
authors.lastname: Ballesteros Prada
authors.forename: Luis
authors.initials: L
authors.lastname: Díaz de la Llera
authors.forename: Angel
authors.initials: A
authors.lastname: Martínez-Martínez
authors.forename: Angel
authors.initials: A
authors.lastname: Sánchez-González
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology; D000328:Adult; D000368:Aged; D003324:Coronary Artery Disease / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013997:Time Factors