Open AccessAsymptomatic Spontaneous Coronary Artery Dissection
Author(s) -
Dakik Habib A.,
Nader Gilbert Abou,
Arja Wajih A.,
Sawaya Jaber,
Gharzuddine Walid
Publication year - 2010
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20540
Subject(s) - medicine , asymptomatic , scad , myocardial infarction , unstable angina , cardiology , sudden death , artery dissection , dissection (medical) , presentation (obstetrics) , angina , surgery , coronary angiography
Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia that could present as angina, acute myocardial infarction, or even sudden death. It occurs more commonly in women and it has been associated with autoimmune and collagen vascular diseases. The management and prognosis in these patients depend on the initial clinical presentation and the extent of dissection. In this article, we report 2 cases of asymptomatic SCAD that were diagnosed on routine preoperative evaluation. The management options and clinical implications are discussed. Copyright © 2010 Wiley Periodicals, Inc.