A Tale of Two Evils: Iatrogenic Propagation of Spontaneous Coronary Artery Dissection.
| Autor: | Enciso J; Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA., Zipperer M; Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA., Casals L; Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA., Crousillat DR; Heart and Vascular Institute, Tampa General Hospital, Tampa, USA.; Department of Cardiovascular Sciences, University of South Florida Morsani College of Medicine, Tampa, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Sep 19; Vol. 15 (9), pp. e45569. Date of Electronic Publication: 2023 Sep 19 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.45569 |
| Abstrakt: | Spontaneous coronary artery dissection (SCAD) is a non-traumatic and non-iatrogenic intimal separation of the coronary arterial wall. While poorly understood, its mechanism confers higher prevalence in younger females, and it is responsible for 25% of acute coronary syndromes (ACS) in women under 50 years of age. SCAD is primarily diagnosed via coronary angiography; however, intraluminal contrast injection and percutaneous coronary interventions (PCI) are associated with an increased risk of propagation and extension of the dissection leading to increased risk of morbidity and mortality. We present the case of a 48-year-old female with multivessel SCAD and subsequent iatrogenic dissection following contrast injection requiring multiple PCI for medical treatment of refractory cardiac angina. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Enciso et al.) |
| Databáze: | MEDLINE |
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