Journal of Investigative Medicine High Impact Case Reports (Apr 2018)

Spontaneous Coronary Artery Dissection: A Case Series of 9 Patients With Literature Review

  • Ali Raza Ghani MD,
  • Faisal Inayat MBBS,
  • Nouman Safdar Ali MBBS,
  • Reema Anjum MBBS,
  • Michael Viray MD,
  • Arsalan Talib Hashmi MD,
  • Iqra Riaz MBBS,
  • Bruce D. Klugherz MD,
  • Hafeez Ul Hassan Virk MD

DOI
https://doi.org/10.1177/2324709618770479
Journal volume & issue
Vol. 6

Abstract

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Spontaneous coronary artery dissection is an increasingly recognized nonatherosclerotic cause of acute coronary syndrome. Reports regarding the prognosis and natural history of this disease are limited. In addition to the diagnostic difficulty, this condition poses a significant therapeutic challenge due to the lack of specific management guidelines. We present here a case series of 9 patients with spontaneous coronary artery dissection. Additionally, this article reviews the incidence, clinical characteristics, risk factors, diagnostic modalities, therapeutic approaches, and patterns of recurrence in patients with spontaneous coronary artery dissection.