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Volume 31, Nº 6, November and December 2018


DOI: http://www.dx.doi.org/10.5935/2359-4802.20180072


Spontaneous Dissection Of Left Anterior Descending Coronary Artery: Case Report

Cybelle Nunes Leão

Marilia Medeiros Vitório Machareth

Pedro Henrique D'avila Costa Ribeiro

Bruno dos Santos Farnetano

Isaac Nilton Fernandes Oliveira

Rafael Américo Damaceno


Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). It usually affects young women with no risk factors for coronary disease. The real incidence of this disease in the population in general is unknown. However, as has been observed in more recent studies, the prevalence of SCAD has increased due to the growth in the use of coronary angiography (from 0.2% to 4%). Because it is a poorly studied disease, its etiology remains little known and, therefore, the prognosis and therapeutic approach are still uncertain. The percutaneous coronary intervention, surgical myocardial revascularization and clinical treatment are therapeutic options.

Keywords:Acute Coronary Syndrome; Cardiac Catheterization; Coronary Artery Disease.