title: Minimally aggressive treatment of spontaneous coronary artery dissections.
abstract: Spontaneous coronary artery dissection--the separation of the coronary artery wall layers caused by an intramural hematoma--frequently causes an acute coronary syndrome (ACS) and sudden cardiac death. The diagnosis is made at angiography by the 'tram-track' appearance of the contrast media in the true and false lumina, separated by a radiolucent intimal flap. Here we report two cases of spontaneous coronary artery dissection-related ACS managed with minimally aggressive treatment.
authors.affiliation: Institute of Cardiology and Center of Excellence on Aging, G. d'Annunzio University, Via dei Vestini, Chieti, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Ricci
authors.forename: Francesco
authors.initials: F
authors.lastname: Radico
authors.forename: Marco
authors.initials: M
authors.lastname: Zimarino
authors.forename: Riccardo
authors.initials: R
authors.lastname: Marano
authors.forename: Raffaele
authors.initials: R
authors.lastname: De Caterina
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D061330:Multidetector Computed Tomography; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*