Spontaneous coronary artery dissection

  • Kareem Salhiyyah
  • Haitham Abunasra
  • Salman Waqar
  • Nigel Wheeldon
  • Pradip Sarkar
Case Report

DOI: 10.1007/s11748-009-0416-2

Cite this article as:
Salhiyyah, K., Abunasra, H., Waqar, S. et al. Gen Thorac Cardiovasc Surg (2009) 57: 540. doi:10.1007/s11748-009-0416-2

Abstract

Spontaneous coronary artery dissection (SCAD) is a relatively rare but important cause of acute coronary syndrome. The diagnosis is often made at autopsy. Risk factors include the peripartum period, oral contraceptive use, and atherosclerotic disease. SCAD must be considered every time a healthy young patient presents with an onset of acute myocardial ischemic syndrome. A timely diagnosis and intervention are mandatory as SCAD can cause sudden death. We describe two cases of SCAD, both treated successfully with emergency coronary artery bypass grafting using left internal mammary and radial arteries in the first case and the left internal mammary artery only for the second case.

Key words

Spontaneous coronary artery dissection Postpartum Postmenopausal Emergency coronary artery bypass grafting Arterial grafts 

Copyright information

© The Japanese Association for Thoracic Surgery 2009

Authors and Affiliations

  • Kareem Salhiyyah
    • 1
  • Haitham Abunasra
    • 1
  • Salman Waqar
    • 1
  • Nigel Wheeldon
    • 2
  • Pradip Sarkar
    • 1
  1. 1.Department of Cardiothoracic Surgery, Northern General HospitalSheffield Teaching Hospitals NHS Foundation TrustSheffieldUK
  2. 2.Department of CardiologyNorthern General Hospital, Sheffield Teaching Hospitals NHS Foundation TrustSheffieldUK