Successful treatment of long spontaneous coronary dissection with medical management: Not to intervene

Basit Öğe Kaydı
dc.contributor.authorArı, Hatem
dc.contributor.authorAvcı, Ahmet
dc.contributor.authorDemir, Kenan
dc.contributor.authorAltunkeser, Bülent Behlül
dc.date.accessioned2020-03-26T18:48:18Z
dc.date.available2020-03-26T18:48:18Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractSpontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and optimal therapy has not been well-defined. We present a case of long SCAD with complete healing due to medical management. A 47-year-old woman presented to emergency department because of sudden onset of typical chest pain. Electrocardiogram (ECG) showed minimal ST-segment elevation in leads V1-V4. Coronary angiography showed a long spiral dissection extending from the middle segment to the distal segment of the left anterior descending artery and TIMI flow grade three. We decided to follow-up with medical management and have control angiography unless hemodynamic instability and chest pain emerged. Control angiography displayed complete healing of dissect segment after six months. SCAD should be considered, especially in women who present with an ACS without a history of cardiovascular disease and risk factor. This report offers the idea that medical management can be a choice even if in the long segment SCAD setting. © 2013.en_US
dc.identifier.doi10.1016/j.ehj.2013.03.002en_US
dc.identifier.endpage336en_US
dc.identifier.issn1110-2608en_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage333en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ehj.2013.03.002
dc.identifier.urihttps://hdl.handle.net/20.500.12395/30198
dc.identifier.volume65en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofEgyptian Heart Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectMedical managementen_US
dc.subjectSpontaneous coronary artery dissectionen_US
dc.titleSuccessful treatment of long spontaneous coronary dissection with medical management: Not to interveneen_US
dc.typeArticleen_US

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