Spontaneous Coronary Artery Dissection (SCAD): Case Series and Mini Review

Aristi Boulmpou; George Kassimis; Dimitrios Zioutas; Magdalini Meletidou; Dimitrios Mouselimis; Anastasios Tsarouchas; Stergios Tzikas; Vassilios Vassilikos; Ioannis Kanonidis; Ioannis Tsounos; Christodoulos E Papadopoulos

doi:10.1016/j.carrev.2020.03.013

Spontaneous Coronary Artery Dissection (SCAD): Case Series and Mini Review

Cardiovasc Revasc Med. 2020 Nov;21(11):1450-1456. doi: 10.1016/j.carrev.2020.03.013. Epub 2020 Mar 9.

Affiliations

¹ 3rd Cardiology Department, Hippokration University Hospital, Aristotle University of Thessaloniki, Greece.
² 2nd Cardiology Department, Hippokration University Hospital, Aristotle University of Thessaloniki, Greece.
³ Cardiology Department, St. Luke's Hospital, Thessaloniki, Greece.
⁴ Cardiology Department, Agios Pavlos General Hospital, Thessaloniki, Greece.
⁵ 3rd Cardiology Department, Hippokration University Hospital, Aristotle University of Thessaloniki, Greece. Electronic address: chpapado@auth.gr.

PMID: 32173331
DOI: 10.1016/j.carrev.2020.03.013

Abstract

Spontaneous coronary artery dissection (SCAD) has gained recognition in recent years as a non-atherosclerotic cause of acute coronary syndrome (ACS), especially in young and middle-aged women without any of the classic risk factors for cardiovascular disease. The booming use of coronary angiography in patients presenting with ACS combined with new, revolutionary methods of intravascular imaging, have led to increased rates of SCAD diagnosis. We aim to present a brief, up-to-date review of the existing literature, along with our experience as reflected in the recent management of nine SCAD cases in three tertiary care hospitals.

Keywords: Coronary artery disease; Endovascular intervention; Percutaneous coronary intervention (PCI).

Publication types

Review

MeSH terms

Coronary Angiography
Coronary Vessel Anomalies*
Dissection
Humans
Vascular Diseases*