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Unique Spontaneous Unhealed Chronic Multivessel Coronary Artery Dissection in an Elderly Man

A Case Report and Review of the Literature

Department of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey, ozerenali{at}hotmail.com

Mustafa Aydn, MD

Department of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey

Mehmet Bilge, MD

Department of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey

Metin Gürsürer, MD

Department of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey

Mehmet Özkökeli, MD

Department of Cardiovascular Surgery, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey

Irfan Peksoy, MD

Department of Nuclear Medicine, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey

Spontaneous coronary artery dissection (SCAD) is relatively uncommon. It often occurs in healthy, middle-aged women without overt risk factors for atherosclerosis and is associated with the peripartum period. The pattern and severity of presentation are variable. There are only 5 reports in the literature about multivessel involvement. The etiopathogenesis of SCAD is unclear. Treatment strategy is not standard but is usually tailored to clinical features. Long-term survival of patients with SCAD who have had no problem at the initial event is good. The authors report the first case of unhealed chronic multivessel SCAD in the literature.

Angiology, Vol. 56, No. 3, 335-338 (2005)
DOI: 10.1177/000331970505600315


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