Spontaneous Coronary Artery Dissection: A Case Series of 9 Patients With Literature Review.

Ali Raza Ghani, MD, Abington Hospital – Jefferson Health, Abington, PA, USA
Faisal Inayat, Allama Iqbal Medical College, Lahore, Pakistan
Nouman Safdar Ali, Allama Iqbal Medical College, Lahore, Pakistan
Reema Anjum, Einstein Medical Center, Philadelphia, PA, USA
Michael Viray, Einstein Medical Center, Philadelphia, PA, USA
Arsalan Talib Hashmi, Maimonides Medical Center, Brooklyn, NY, USA
Iqra Riaz, Einstein Medical Center, Philadelphia, PA, USA
Bruce D Klugherz, Abington Hospital – Jefferson Health, Abington, PA, USA
Hafeez Ul Hassan Virk, Einstein Medical Center, Philadelphia, PA, USA

Document Type Article

This article has been peer reviewed. It was published in: Journal of Investigative Medicine High Impact Case Reports.

Volume 6, 16 April 2018.

The published version is available at DOI: 10.1177/2324709618770479

Copyright © 2018 American Federation for Medical Research

This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Abstract

Spontaneous coronary artery dissection is an increasingly recognized nonatherosclerotic cause of acute coronary syndrome. Reports regarding the prognosis and natural history of this disease are limited. In addition to the diagnostic difficulty, this condition poses a significant therapeutic challenge due to the lack of specific management guidelines. We present here a case series of 9 patients with spontaneous coronary artery dissection. Additionally, this article reviews the incidence, clinical characteristics, risk factors, diagnostic modalities, therapeutic approaches, and patterns of recurrence in patients with spontaneous coronary artery dissection.