Challenges in Diagnosis and Management of Spontaneous Coronary Artery Dissection in a Young Patient

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2019-12-01 DOI:10.21470/1678-9741-2018-0198
Beatriz J. S. Branco, Cesar Sanchez, C. Mendoza, M. Magarakis, Alejandro E. Macias, T. Salerno
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引用次数: 3

Abstract

Spontaneous coronary artery dissection (SCAD) is characterized by tear of the inner layer in the coronary artery, creating a false lumen between the inner and central layer. Its infrequent incidence often leads to delay in diagnosis posing challenges in management. There are currently no guidelines for the treatment of this condition. We describe an adult patient who presented with multiple episodes of ventricular fibrillation, in whom cardiac catheterization showed SCAD, treated by off-pump coronary artery bypass.
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一例年轻自发性冠状动脉夹层的诊断和治疗挑战
自发性冠状动脉夹层(SCAD)的特征是冠状动脉内层撕裂,在内层和中心层之间形成假管腔。其罕见的发病率往往导致诊断延迟,给管理带来挑战。目前还没有治疗这种疾病的指南。我们描述了一名成年患者,他表现出多发性心室颤动,心导管插入术显示SCAD,接受非体外循环冠状动脉搭桥术治疗。
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来源期刊
Revista Brasileira De Cirurgia Cardiovascular
Revista Brasileira De Cirurgia Cardiovascular CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.10
自引率
0.00%
发文量
176
审稿时长
20 weeks
期刊介绍: Brazilian Journal of Cardiovascular Surgery (BJCVS) is the official journal of the Brazilian Society of Cardiovascular Surgery (SBCCV). BJCVS is a bimonthly, peer-reviewed scientific journal, with regular circulation since 1986. BJCVS aims to record the scientific and innovation production in cardiovascular surgery and promote study, improvement and professional updating in the specialty. It has significant impact on cardiovascular surgery practice and related areas.
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