title: A successful emergency management of spontaneous coronary artery dissection and review of the literature.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare and lethal myocardial ischemic event, which usually causes acute coronary syndrome and sudden death. Emergency management of SCAD includes medical treatment, percutaneous coronary interventions, and coronary artery bypass grafting. Here, we report 1 case of 37-year-old young woman who was found to have a mid-distal SCAD of the left anterior descending artery, taking conservative management decision. In another case of a 50-year-old woman who was found to have a proximal-middle spiral SCAD of the right coronary artery, she underwent coronary angioplasty. After 6 months later at follow-up, 2 patients remained stable without symptom and in recovery of the left ventricular function; angiogram showed the SCAD healed.
authors.affiliation: Department of Cardiology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, Jiangsu 214002, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Xin-He
authors.forename: Yang
authors.initials: Y
authors.lastname: Cheng-Jian
authors.forename: Jin
authors.initials: J
authors.lastname: Yan
authors.forename: Xu
authors.initials: X
authors.lastname: Xin
authors.forename: Cao
authors.initials: C
authors.lastname: Jia-Ning
authors.forename: Yang
authors.initials: Y
authors.lastname: Zhen-Jie
authors.forename: Dong
authors.initials: D
authors.lastname: Feng
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000628:therapy*; D004359:Drug Therapy, Combination; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use*; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D010975:Platelet Aggregation Inhibitors