title: Spontaneous coronary artery dissection: one entity with several therapeutic options.
abstract: Spontaneous coronary artery dissection is an unusual and a rare cause of acute coronary syndrome and sudden death with multiple predisposing factors. Prompt recognition is crucial for appropriate patient management, but specific guidelines for optimal treatment are lacking. We report four cases of women with spontaneous coronary artery dissection revealed by ST-segment elevation, three in women during postpartum and one case associated with a Marfan syndrome. Our cases span the different therapeutic options from medical treatment, stenting, to coronary artery bypass graft surgery.
authors.affiliation: Department of Cardiology, University Hospital of Caen, 14033 Caen Cedex, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Wain-Hobson
authors.forename: Vincent
authors.initials: V
authors.lastname: Roule
authors.forename: Ziad
authors.initials: Z
authors.lastname: Dahdouh
authors.forename: Rémi
authors.initials: R
authors.lastname: Sabatier
authors.forename: Thérèse
authors.initials: T
authors.lastname: Lognoné
authors.forename: Gilles
authors.initials: G
authors.lastname: Grollier
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008382:Marfan Syndrome / Q000150:complications; D049590:Postpartum Period; D011247:Pregnancy; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents