Spontaneous Coronary Artery Dissection Mimicking Coronary Spasm Diagnosed by Intravascular Ultrasonography
- Authors
- Chung, Hyemoon; Lee, Sung-Joo; Park, Jong-Kwan; Choi, In Suk; Won, Ho Yeon; Kim, Sohee; Cha, Jung-Joon; Lee, Byoung Kwon
- Issue Date
- Jul-2013
- Publisher
- KOREAN SOC CARDIOLOGY
- Keywords
- Coronary artery dissection, spanteneous; Ultrasonography, interventional; Coronary vasospasm
- Citation
- KOREAN CIRCULATION JOURNAL, v.43, no.7, pp.491 - 496
- Journal Title
- KOREAN CIRCULATION JOURNAL
- Volume
- 43
- Number
- 7
- Start Page
- 491
- End Page
- 496
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14441
- DOI
- 10.4070/kcj.2013.43.7.491
- ISSN
- 1738-5520
- Abstract
- Spontaneous coronary artery dissection (SCAD) is a rare and occasionally life-threatening cause of acute coronary syndrome. Patients may present with clinical scenarios ranging from angina pectoris to cardiogenic shock to sudden cardiac death, and it may be a potentially life-threatening condition if not recognized. However, its etiology, pathophysiology and optimal therapeutic strategies have not been well understood. SCAD is diagnosed on the basis of coronary angiography, but complementary techniques as such intravascular ultrasound (IVUS) and optical coherence tomography should be considered for diagnostic clarification where appropriate. Likewise, the selection of treatment strategy depends upon the clinical manifestation, location and the extent of dissection and amount of ischemic myocardium at risk. Herein, we present the case of a 35-year-old woman who presented with acute myocardial infarction. She was diagnosed by IVUS with spontaneous diffuse dissection of the left anterior descending artery without atheroma, treated with percutaneous coronary stenting, and had a favorable clinical course and was discharged on medical therapy.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14441)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.