Kemal KARAAĞAÇ, Özlem ARICAN ÖZLÜK, Dursun TOPAL, Mustafa YILMAZ

Spontan Koroner Arter Diseksiyonu: Olgu Sunumu ile Birlikte Tıp Literatürünün Gözden Geçirilmesi

Spontan koroner arter diseksiyonu, akut koroner sendromun nadir görülen bir sebebidir. Klinik prezentasyon aterosklerotik koroner arter hastalığı ile benzerdir. Teşhis genellikle koroner anjiyografiyle konulur. Spontan koroner arter diseksiyonu kadınlarda erkeklerden daha sık görülmektedir. Spontan koroner arter diseksiyonu hastalarının teşhis ve tedavisinin hızlı ve doğru yapılması sağkalımı artırır. Tedavi seçenekleri cerrahi tedavi, perkütan koroner girişim ve medikal tedavidir

Spontaneous Coronary Artery Dissection: Case Report Review of the Literature

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome with a high risk of mortality. The clinical presentation is similar to the atherosclerotic coronary artery disease. The diagnosis is usually made by coronary angiography. Spontaneous coronary artery dissection is more common in women than men. Fast and accurate diagnosis and treatment of spontaneous coronary artery dissection patients improves survival. Therapeutic options include surgery, percutaneous coronary intervention and medical therapy

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1. Basso C, Morgagni GL, Thiene G. Spontaneous coronary artery dissection: a neglected cause of acute myocardial ischaemia and sudden death. Heart 1996;75:451-4.
2. Pretty HC. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. Br Med J 1931;1:667.
3. Kamran M, Guptan A, Bogal M. Spontaneous coronary artery dissection: case series and review. J Invasive Cardiol 2008;20:553-9.
4. Kay IP, Wilkins GT, Williams MJ. Spontaneous coronary artery dissection presenting as unstable angina. J Invasive Cardiol 1998;10:274-6.
5. Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR. Spontaneous coronary dissection: a cluster of cases with this rare finding. Am Heart J 1994;127:1382-87.
6. Thompson EA, Ferraris S, Gress T, Ferraris V. Gender differences and predictors of mortality inspontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol 2005;17:59-61.
7. Koul AK, Hollander G, Moskovits N, Frankel R, Herrera L, Shani J. Coronary artery dissection during pregnancy and the postpartum period: two case reports and review of literature. Catheter Cardiovasc Interv 2001;52:88-94.
8. Hering D, Piper C, Hohmann C, Schultheiss HP, Horstkotte D. Prospective study of the incidence, pathogenesis and therapy of spontaneous, by coronary angiography diagnosed coronary artery dissection. Z Kardiol 1998;87:961-70.
9. Mark DB, Kong Y, Whalen RE. Variant angina and coronary artery dissection. Am J Cardiol 1985;56:485-6.
10. Steinhauer JR, Caulfield JB. Spontaneous coronary artery dissection associated with cocaine use: a case report and brief review. Cardiovasc Pathol 2001;10:141-5.
11. Vale PR, Baron DW. Coronary artery stenting for spontaneous coronary artery dissection: a case report and review of the literature. Cathet Cardiovasc Diagn 1998;45:280-6.
12. Behnam R, Tillinghast S. Thrombolytic therapy in spontaneous coronary artery dissection. Clin Cardiol 1991;14:611-4.
13. Zupan I, Noc M, Trinkaus D, Popovic M. Double vessel extension of spontaneous left main coronary artery dissection in young women treated with thrombolytics. Catheter Cardiovasc Interv 2001;52:226-30.
14. Phillips LM, Makaryus AN, Beldner S, Spatz A, Smith-Levitin M, Marchant D. Coronary artery dissection during pregnancy treated with medical therapy. Cardiol Rev 2006;14:155-7.
15. Cheung S, Mithani V, Watson RM. Healing of spontaneous coronary dissection in the context of glycoprotein IIB/IIIA inhibitor therapy: a case report. Catheter Cardiovasc Interv 2000;51:95-100.
16. Zampieri P, Aggio S, Roncon L, et al. Follow-up after spontaneous coronary artery dissection: a report of 5 cases. Heart 1996;75:206-9.
17. Hong MK, Satler LF, Mintz GS, et al. Treatment of spontaneous coronary artery dissection with intracoronary stenting. Am Heart J 1996;132:200-2.
18. Togni M, Amann FW, Follath F. Spontaneous multivessel coronary artery dissection in a pregnant woman treated successfully with stent implantation. Am J Med 1999;107:407-8.
19. Mohamed HA, Eshawesh A, Habib N. Spontaneous coronary artery dissection-a case report and review of the literature. Angiology 2002;53:205-11.
20. Hering D, Piper C, Hohmann C, Schultheiss HP, Horstkotte D. Prospective study of the incidence, pathogenesis and therapy of spontaneous, by coronary angiography diagnosed coronary artery dissection. Z Kardiol 1998; 87:961-70.