Spontaneous coronary artery dissection: Case series and review

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82 Scopus citations


Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndromes. SCAD can cause unstable angina, acute myocardial infarction, and sudden death. Predisposing factors include atherosclerosis, the peripartum period, and structural and inflammatory conditions affecting the arterial wall. The diagnosis of coronary dissection is usually made by coronary angiography. Prompt diagnosis and treatment of patients with dissection improves survival. Therapeutic options include medical therapy, percutaneous coronary intervention, and surgery. We present a series of patients with spontaneous coronary artery dissection at our institution. The etiology, pathogenesis, diagnosis, treatment, and prognosis of patients with coronary dissection are reviewed.

Original languageEnglish
Pages (from-to)553-559
Number of pages7
JournalJournal of Invasive Cardiology
Issue number10
StatePublished - Oct 2008


  • Acute myocardial infarction
  • Angiography
  • Coronary artery disease
  • Dissection
  • Pregnancy


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