Cor Vasa 2004, 45(2):76-79

Spontaneous coronary artery dissection

Marcela Škvařilová^1,*, Jan Lukl¹, Alan Bulava¹, Ivana Kellnerová², František Holm³

¹ I. interní klinika, Fakultní nemocnice a Lékařská fakulta Univerzity Palackého, Olomouc

² Interní oddělení, Nemocnice Svitavy

³ II. interní klinika, Všeobecná fakultní nemocnice a 1. lékařská fakulta Univerzity Karlovy, Praha, Česká republika

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction. It typically occurs in young women using oral contraception or during the peripartum period. SCAD may be associated with cocaine abuse. Most cases of SCAD appear to be idiopathic and are thought to be related to a disorder in arterial collagen metabolism or synthesis. We report the case of a 49-year-old male with spontaneous dissection of the left anterior descending coronary artery found to be completely healed at angiography 6 months later.

Keywords: Spontaneous coronary artery dissection; Coronary angiography; Myocardial infarction

Published: February 1, 2004  Show citation