Extensive, Idiopathic, Recurrent, Spontaneous Coronary Artery Dissection Healed With Medical Treatment

Abstract

Spontaneous coronary artery dissection is a rare cause of sudden cardiac death and acute coronary syndrome, and mainly affects young female. Treatment of this condition depends on the clinical features, hemodynamic and angiographic findings of the patient, but due to the rarity of the disease, guideline support was insufficient until the last period. Depending on the condition of the patient and the coronary blood flow, medical observation, percutaneous coronary intervention or coronary artery bypass graft surgery are used in the treatment. We present a young female patient who underwent emergency coronary artery bypass graft surgery after spontaneous left main coronary artery dissection four years ago and was recently diagnosed with extensive spontaneous coronary artery dissection in her right coronary artery. After the diagnosis, the patient was given medical treatment and recovered completely.

Keywords

• spontaneous coronary artery dissection
• acute coronary syndrome
• coronary artery disease

Medikal Tedavi ile İyileşen Yaygın, İdiyopatik, Tekrarlayan Spontan Koroner Arter Diseksiyonu

Abstract

Spontan koroner arter diseksiyonu, ani kardiyak ölüm ve akut koroner sendromun nadir bir nedenidir ve özellikle genç kadınları etkiler. Bu durumun tedavisi hastanın klinik özelliklerine, hemodinamik ve anjiyografik bulgularına bağlıdır, ancak hastalığın nadir olması nedeniyle son döneme kadar kılavuz desteği yetersizdi. Hastanın ve koroner kan akımının durumuna göre tedavide medikal gözlem, perkütan koroner girişim ya da koroner arter bypass greft cerrahisi kullanılmaktadır. Dört yıl önce spontan sol ana koroner arter diseksiyonu sonrası acil koroner arter bypass greft cerrahisi uygulanan ve yakın zamanda sağ koroner arterinde yaygın spontan koroner arter diseksiyonu tanısı alan genç bir kadın hastayı sunuyoruz. Teşhisin ardından hasta medikal tedavi ile takip edildi ve tamamen iyileşti.

Keywords

• spontan koroner arter diseksiyonu
• akut koroner sendrom
• koroner arter hastalığı

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