Süleyman ERCAN, Musa ÇAKICI, Muhammed OYLUMLU, Vedat DAVUTOĞLU

Nadir akut koroner sendrom nedeni: spontan koroner arter disseksiyonu

Spontan koroner arter disseksiyonu, akut koroner sendromun nadir nedenlerindendir. Koroner anjiografide, disseksiyon flebinin ve yalancı lümenin görülmesiyle tanı konulur. Hastalar, sessiz klinik seyirden ani kardiyak ölüme kadar farklı klinik tablolar ile gelebilir. Akut koroner sendrom tanısıyla koroner anjiografi yapılan 52 yaşındaki erkek hastanın, sirkumfleks arterinde spontan disseksiyon saptandı. Medikal tedaviyle rahatlamayan hastanın sirkumfleks arterine perkutan koroner girişimle başarılı şekilde stent yerleştirildi. Spontan koroner arter disseksiyonlu hastaların tedavisinde, uygun damar ve deneyimli operatör varlığında perkütan koroner girişim düşünülebilir.

Rare cause of acute coronary syndrome: spontaneous coronary artery dissection

Spontaneous coronary artery dissection is rare cause of acute coronary syndrome. It is diagnosed by coronary angiography which shows dissection flap and false lumen. Patients might be presented different clinical conditions from asymptomatic to sudden cardiac death. A 52 year-old man with acute coronary syndrome was performed coronary angiography, his sircumflex artery had spontaneous dissection. Due to unrelieved symptomes with medical treatment, percutanous coronary stenting was succesfully performed to sircumflex artery of the patient. If there are suitable vessel and experienced physican, percutanous coronary intervention can be performed to the patients with spontaneous coronary artery dissection

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