Spontaneous coronary dissection and its long-term prognostic implications in a cohort of 19 cases.
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.
Romero-Rodríguez
Nieves
N
Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Virgen del Rocío, Sevilla, España. niemed21@hotmail.com
Fernández-Quero
Mónica
M
Villa Gil-Ortega
Manuel
M
Urbano del Moral
José Angel
JA
Ballesteros Prada
Sara
S
Díaz de la Llera
Luis
L
Martínez-Martínez
Angel
A
Sánchez-González
Angel
A
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