title: [Spontaneous coronary artery dissection treated by intravascular ultrasound-guided percutaneous coronary intervention: case report and review of the literature].
abstract: Spontaneous coronary artery dissection (SCAD) is a non-atherosclerotic coronary artery disease, which typically affects women with a low cardiovascular risk profile, and its prevalence as a cause of acute coronary syndrome and sudden death is probably under-recognized. The pathophysiology of SCAD consists essentially in the formation of an intramural hematoma, with or without intimal tear, which causes luminal compression and obstruction. The most used technique for the diagnosis of SCAD is coronary angiography. Intravascular imaging tools, such as intravascular ultrasound and optical coherence tomography, provide a more accurate characterization of the coronary wall, allowing diagnosis when angiography is unclear. We present the case of a young woman admitted with typical chest pain associated with electrocardiographic changes and elevated cardiac troponin I.
authors.affiliation: S.C. Cardiologia e Fisiopatologia Cardiovascolare, Università degli Studi, Perugia.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ciliberti
authors.affiliation: S.C. Cardiologia e Fisiopatologia Cardiovascolare, Università degli Studi, Perugia.
authors.forename: Francesco
authors.initials: F
authors.lastname: Notaristefano
authors.affiliation: S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.
authors.forename: Rocco
authors.initials: R
authors.lastname: Sclafani
authors.affiliation: S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Notaristefano
authors.affiliation: S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.
authors.forename: Claudio
authors.initials: C
authors.lastname: Giombolini
authors.affiliation: S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.
authors.forename: Federico
authors.initials: F
authors.lastname: Fortunati
authors.affiliation: S.C. Cardiologia e Fisiopatologia Cardiovascolare, Università degli Studi, Perugia.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ambrosio
authors.affiliation: S.C. Cardiologia, Ospedale S. Maria della Misericordia, Perugia.
authors.forename: Claudio
authors.initials: C
authors.lastname: Cavallini
mesh_terms: D000328:Adult; D000465:Algorithms; D000784:Aortic Dissection / Q000097:blood / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D015415:Biomarkers; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D003323:Coronary Aneurysm / Q000097:blood / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011379:Prognosis; D019210:Troponin I / Q000097:blood; D018084:Ultrasonography, Interventional
chemical_list: D015415:Biomarkers; D019210:Troponin I