Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Book

Coronary Artery Dissection (Archived)

Jai D. Parekh  1 , Shaylika Chauhan  2 , Joann L. Porter  3
In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
Affiliations
Free Books & Documents
Book

Coronary Artery Dissection (Archived)

Jai D. Parekh et al.
Free Books & Documents

Excerpt

Coronary artery dissection can be spontaneous, traumatic, or due to iatrogenic causes. This review will focus on spontaneous coronary artery dissection (SCAD). Spontaneous coronary artery dissection is the non-traumatic and non-iatrogenic separation of the coronary arterial wall. It is an uncommon cause of acute myocardial infarction. It affects young to middle-aged women with men accounting for less than 10% to 15% of cases in most large contemporary series. Although historically it was thought to be rare, the increased use of early angiography to assess acute chest pain presentations has resulted in recognition of spontaneous coronary artery dissection as more common. The condition poses diagnostic challenges and significant therapeutic dilemmas given the lack of research to guide management.

PubMed Disclaimer

Conflict of interest statement

Disclosure: Jai Parekh declares no relevant financial relationships with ineligible companies.

Disclosure: Shaylika Chauhan declares no relevant financial relationships with ineligible companies.

Disclosure: Joann Porter declares no relevant financial relationships with ineligible companies.

References

    1. Yeung DF, Saw J. Multiple recurrences of spontaneous coronary artery dissection in a woman with fibromuscular dysplasia. Catheter Cardiovasc Interv. 2019 Nov 01;94(5):702-705. - PubMed
    1. Subramaniam K, Siew SF, Mahmood MS. Sudden cardiac death in a young adult man due to spontaneous coronary artery dissection. Malays J Pathol. 2019 Apr;41(1):51-54. - PubMed
    1. Phang C, Whitbourn R. Percutaneous coronary intervention in recurrent spontaneous coronary artery dissection: a case report. Eur Heart J Case Rep. 2019 Mar;3(1):ytz021. - PMC - PubMed
    1. Cepas-Guillén PL, Flores-Umanzor EJ, Sabate M, Masotti M. Multivessel spontaneous coronary artery dissection involving the left main coronary artery: a case report. Eur Heart J Case Rep. 2019 Mar;3(1):yty168. - PMC - PubMed
    1. Y-Hassan S, Henareh L. Fibrinolysis-treated myocardial infarction in a patient with missed spontaneous coronary artery dissection associated with takotsubo syndrome: case report. Eur Heart J Case Rep. 2018 Dec;2(4):yty145. - PMC - PubMed

Publication types

LinkOut - more resources