ABSTRACT
Spontaneous coronary artery dissection (SCAD), an intramural hemorrhage leading to a separation of the layers of the coronary artery wall, is traditionally considered a rare condition associated mainly with pregnancy but is likely underdiagnosed in other settings. Its recognition by coronary angiography is key. Medical management is usually indicated, except in certain circumstances in which coronary artery bypass grafting or percutaneous coronary intervention should be considered.
- Copyright © 2019 The Cleveland Clinic Foundation. All Rights Reserved.
- Nureddin K. Almaddah, MD⇑
- Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN
- ADDRESS:
Nureddin K. Almaddah, MD, Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, 956 Court Avenue, Suite A312, Memphis, TN 38163; nk.almaddah{at}gmail.com
- Mohamed S. Morsy, MD
- Dwight Dishmon, MD
- Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
ABSTRACT
Spontaneous coronary artery dissection (SCAD), an intramural hemorrhage leading to a separation of the layers of the coronary artery wall, is traditionally considered a rare condition associated mainly with pregnancy but is likely underdiagnosed in other settings. Its recognition by coronary angiography is key. Medical management is usually indicated, except in certain circumstances in which coronary artery bypass grafting or percutaneous coronary intervention should be considered.
- Copyright © 2019 The Cleveland Clinic Foundation. All Rights Reserved.