The role of intravascular ultrasound in the management of spontaneous coronary artery dissection.
Jayanth R Arnold, Nick Ej West, William J van Gaal, Theodoros D Karamitsos, Adrian P Banning
Cardiovasc Ultrasound | Published : 2008
Primary or spontaneous coronary artery dissection (SCAD) is an unusual but increasingly recognized cause of acute myocardial ischemia and sudden cardiac death. Typically, SCAD presents in younger patients without conventional risk factors for coronary artery disease. It occurs more commonly in women than in men, and frequently during pregnancy or the postpartum period. Its pathophysiology is poorly understood, and there is considerable controversy regarding the optimal management of patients with SCAD-related myocardial ischemia. Therapeutic approaches include conservative medical therapy, coronary artery bypass graft surgery and percutaneous coronary intervention (PCI). We present four case..View full abstract