Necmettin ÇOLAK, Yunus NAZLI, Fatih ALPAY, Ömer ÇAKIR

Spontan koroner arter diseksiyonları: Dört olgu ve literatürün gözden geçirilmesi

Spontan koroner arter diseksiyonu (SKAD), akut koroner sendromun nadir görülen bir sebebidir. SKAD’ları stabi angina pektoris, unstabil angina pektoris, akut miyokard infarktüsü, kardiyojenik şok ve ani kardiyak ölüme sebep olabilir. Ateroskleroz, peripartum periyod, arter duvarını etkileyen strüktürel ve inflamatuar durumlar predispozan faktörlerdir. Teşhis genellikle koroner anjiografi ile konur. Klinik prezentasyon aterosklerotik koroner arter hastalığı ile benzerdir. Koroner arter diseksiyonlu hastaların teşhis ve tedavisinin hızlı yapılması sağkalımı arttırır. Tedav seçenekleri medikal tedavi, perkütan koroner girişim ve cerrahi tedavidir. Tedavi seçimi hastanın kliniği, etkilenen koroner arter ve diseke segmentin uzunluğuna göre karar verilir. Biz SKAD’u olan ve başarı ile tedavi edilen 4 olgumuzu literatür bilgileri eşliğinde sunduk.

Spontaneous coronary artery dissections: Four cases and literature review

Spontaneous coronary artery dissection(SCAD) is a very rare cause of acute coronary syndrome. SCAD can cause stable angina, unstable angina, acute myocardial infarction, cardiogenic shock and sudden cardiac death. Predisposing factors include atherosclerosis, the peripartum period, structural and inflammatory conditions affecting the arterial wall. The diagnosis is usually made by coronary angiography. The clinical presentation is similar to the atherosclerotic coronary artery disease. Prompt diagnosis and treatment of patients improves survival. Therapeutic options include medical therapy, percutaneous coronary intervention and surgery. The four cases were presented an discussed with review of the pertinent literature.

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