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spontaneous coronary artery dissection

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https://www.readbyqxmd.com/read/28329239/removal-of-a-giant-left-ventricular-thrombus-after-myocardial-infarction-due-to-dissection-of-left-anterior-descending-artery
#1
Philipp C Seppelt, Andreas Brcic, Matthias Karck, Gábor Szabó
Left ventricular thrombus is a frequent complication after myocardial infarction and is associated with high risk for arterial embolic complications. In addition to oral anticoagulation, surgical thrombectomy may be a promising treatment for large and mobile thrombus. We report the rare case of a 27-year-old patient who presented with a giant left ventricular thrombus after expanded and silent myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery. As conservative therapy by oral anticoagulation had failed, the thrombus was removed by performing left ventriculotomy...
February 27, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28318654/safety-and-efficacy-of-drug-eluting-stents-in-patients-with-spontaneous-coronary-artery-dissection
#2
Federico Conrotto, Fabrizio D'Ascenzo, Enrico Cerrato, Antonio Fernandez Ortiz, Nieves Gonzalo, Carlos Macaya, Corrado Tamburino, Marco Barbanti, Martijn van Lavieren, Jan J Piek, Robert J Applegate, Azeem Latib, Maria Teresa Spinnler, Raffaella Marzullo, Mario Iannaccone, Marco Pavani, Gabriele Crimi, Rossella Fattori, Alessandra Chinaglia, Patrizia Presbitero, Ferdinando Varbella, Fiorenzo Gaita, Javier Escaned
AIMS: Given the different pathogenesis, use of drug eluting stent (DES) in patients with Spontaneous Coronary Artery Dissection SCAD may delay the healing of the dissected vessel. Aim of our study was to compare the safety and the efficacy of DES vs. bare metal stent (BMS) in a cohort of patients who underwent stenting for SCAD. METHODS AND RESULTS: Consecutive patients with SCAD between January 1995 and August 2014 were retrospectively identified in 12 centers and included...
March 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28302643/pregnancy-associated-spontaneous-coronary-artery-dissection-represents-an-exceptionally-high-risk-spontaneous-coronary-artery-dissection-cohort
#3
EDITORIAL
Jacqueline Saw
No abstract text is available yet for this article.
March 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28302642/pregnancy-and-the-risk-of-spontaneous-coronary-artery-dissection-an-analysis-of-120-contemporary-cases
#4
Ofer Havakuk, Sorel Goland, Anil Mehra, Uri Elkayam
BACKGROUND: Because of the rarity of this condition, information on pregnancy-associated spontaneous coronary artery dissection is limited. We reviewed a large number of contemporary pregnancy-associated spontaneous coronary artery dissection cases in an attempt to define the clinical characteristics and provide management recommendations. METHODS AND RESULTS: A literature search for cases of pregnancy-associated spontaneous coronary artery dissection reported between 2000 and 2015 included 120 cases; 75% presented with ST-segment-elevation myocardial infarction, and 80% had anterior myocardial infarction...
March 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28289763/-gender-and-cardiovascular-diseases-why-we-need-gender-medicine
#5
V Regitz-Zagrosek
Gender medicine is concerned with the question of why diseases are expressed differently in the genders. It takes differences between men and women into account, which are often neglected by traditional medicine. Sex differences can also be found in cardiovascular diseases; therefore, risk factors for cardiovascular diseases have a different significance depending on the sex. Diabetic diseases tend to promote the occurrence of coronary heart disease (CHD) more strongly in women than in men. Myocardial infarctions affect women 10 years later than men and young women are often treated too late, possibly because myocardial infarction is consider to be a "male disease"...
March 13, 2017: Der Internist
https://www.readbyqxmd.com/read/28260324/-spontaneous-coronary-artery-dissection-in-a-patient-with-ascending-aortic-aneurysm
#6
Z Wang, D M Song, Y X Zheng
No abstract text is available yet for this article.
February 24, 2017: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/28258964/diagnosis-and-treatment-of-spontaneous-coronary-artery-pseudoaneurysm-rare-anomaly-with-potentially-significant-clinical-implications
#7
Subrata Kar, Richard R Webel
Spontaneous coronary artery pseudoaneurysm (PSA, false aneurysm) is an extremely rare occurrence with the precise incidence unknown. It is defined as an outwardly bulging monolayer or double layer within the coronary artery that lacks all 3 layers (intima, media, and adventitia) of the arterial wall. Coronary PSA commonly occurs from arterial dissection or perforation induced by catheter intervention, infection, pregnancy, or trauma. Traumatic dissection or perforation of the coronary artery after a percutaneous coronary intervention (PCI) remains the most common cause...
March 4, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28244197/clinical-presentation-of-patients-with-spontaneous-coronary-artery-dissection
#8
Christina Luong, Andrew Starovoytov, Milad Heydari, Tara Sedlak, Eve Aymong, Jacqueline Saw
BACKGROUND: Spontaneous coronary artery dissection (SCAD) is an infrequent but important cause of myocardial infarction (MI) especially in younger women. However, the clinical presentation and the acuity of symptoms prompting invasive management in SCAD patients have not been described. Understanding these presenting features may improve SCAD diagnosis and management. METHODS: We reviewed SCAD patients who were prospectively followed at the Vancouver General Hospital SCAD Clinic...
February 28, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28243947/spontaneous-coronary-artery-dissection
#9
Roger W Byard, John D Gilbert, Neil E I Langlois
No abstract text is available yet for this article.
February 27, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28225387/successful-treatment-of-spontaneous-coronary-artery-dissection-with-intracoronary-imaging-guidance
#10
Bruno Brochado, André Luz, João Silveira, Henrique C Carvalho, Severo Torres
No abstract text is available yet for this article.
February 20, 2017: Coronary Artery Disease
https://www.readbyqxmd.com/read/28218398/changes-in-left-ventricular-function-after-spontaneous-coronary-artery-dissection
#11
Christopher Franco, Andrew Starovoytov, Milad Heydari, G B John Mancini, Eve Aymong, Jacqueline Saw
BACKGROUND: Spontaneous healing of spontaneous coronary artery dissection (SCAD) and left ventricular ejection fraction (LVEF) recovery is frequently observed clinically. However, LVEF on presentation and follow-up imaging has not been described. HYPOTHESIS: We hypothesize that LV dysfunction improves at follow-up after initial SCAD presentation. METHODS: We included patients with nonatherosclerotic SCAD prospectively followed at Vancouver General Hospital, who had baseline assessment of LVEF and wall-motion abnormality (WMA) during their index presentation...
February 20, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28210745/spontaneous-coronary-artery-dissection
#12
Alexander Dashwood, Selvanayagam Niranjan, Saheb Al-Daher, Jerome Goldstein
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28197295/spontaneous-coronary-artery-dissection-the-phantom-menace
#13
Nikolaos Spinthakis, Nada Abdulkareem, Mohamed Farag, Diana A Gorog
We present a case of a 66-year-old lady with chest pain, without dynamic 12-lead electrocardiographic (ECG) changes and normal serial troponin. Coronary angiography revealed a linear filing defect in the first obtuse marginal branch of the circumflex artery indicating coronary artery dissection, with superadded thrombus. She was managed medically with dual antiplatelet therapy and has responded well. Spontaneous coronary artery dissection (SCAD) is a rare cause of cardiac chest pain, which can be missed without coronary angiography...
December 2016: Cardiology Research
https://www.readbyqxmd.com/read/28185383/spontaneous-coronary-artery-dissection-and-takotsubo-syndrome-the-chicken-or-the-egg-causality-dilemma
#14
Shams Y-Hassan, Raquel Themudo, Eva Maret
Acute coronary syndrome (ACS) including spontaneous coronary artery dissection (SCAD) has been reported to trigger its own clinical twin takotsubo syndrome (TS). The pathogenetic association between SCAD and TS remains to be elucidated. The two diseases afflict predominantly women and both conditions may be triggered by an emotional stress factor and an unusual extreme physical exercise. Herein, we describe a case of 54-year-old woman presenting with ACS caused by an obtuso-marginal SCAD. Concurrently, the patient had typical clinical features and course of mid-apical pattern of TS...
February 10, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28168688/repeat-coronary-artery-dissection-in-pregnancy-a-case-report-and-review-of-the-literature
#15
Casey P Bitting, Ross E Zumwalt
Non-atherosclerotic spontaneous coronary artery dissection (NA-SCAD) is a rare cause of morbidity and mortality with a propensity for young, healthy, and often peripartum women. NA-SCAD etiology is poorly understood, with possible hormonal and hereditary mechanisms. Current treatment strategies range from conservative management (often showing resolution on angiographic follow-up) to invasive angiographic procedures. Rarely, NA-SCAD has recurred in another coronary artery, ranging hours to years later. We report NA-SCAD of the right coronary artery (RCA) in a 30-year old, 3-month postpartum female with an additional autopsy finding of remote myocardial infarction (MI) in the left anterior descending (LAD) coronary artery territory...
February 7, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28161260/optical-coherence-tomography-guided-full-plastic-jacket-in-spontaneous-coronary-artery-dissection
#16
Ana Rita Ramalho, João Silva Marques, Manuel Oliveira Santos, Vitor Matos
No abstract text is available yet for this article.
February 27, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28149642/focusing-on-spontaneous-coronary-artery-dissection-actuality-and-future-perspectives
#17
COMMENT
Dario Buccheri, Giulia Zambelli
No abstract text is available yet for this article.
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28139136/spontaneous-coronary-artery-dissection-challenges-of-coronary-computed-tomography-angiography
#18
Mackram F Eleid, Marysia S Tweet, Phillip M Young, Eric Williamson, Sharonne N Hayes, Rajiv Gulati
BACKGROUND: There is limited understanding of the role of cardiac computed tomography angiography (CCTA) for assessment of patients with spontaneous coronary artery dissection (SCAD). METHODS: In this report we describe the diagnostic utility of CCTA in three young women presenting with signs and symptoms of myocardial ischemia who were eventually diagnosed with SCAD. RESULTS: None of the women had traditional atherosclerotic risk factors...
January 1, 2017: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/28116866/angiographic-and-interventional-management-of-spontaneous-coronary-artery-dissections-when-less-is-more-or-when-better-flow-is-the-enemy-of-good-flow
#19
EDITORIAL
Malissa J Wood, Douglas E Drachman
Conservative management of SCAD in clinically stable patients with non-flow limiting lesions in major arteries is associated with favorable outcomes A careful, methodical approach to pursuing PCI in patients with SCAD is warranted Peripartum patients with SCAD appear to be at higher risk for technical complications; interventions in these patients should be performed by highly experienced operators.
January 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28108456/multifaceted-presentation-of-recurrent-spontaneous-coronary-artery-dissection-angiography-and-optical-coherence-tomography-findings
#20
Marcos Garcia-Guimaraes, Teresa Bastante, Javier Cuesta, Fernando Rivero, Gonzalo Navarrete, Teresa Alvarado, Julián Cuesta, Amparo Benedicto, Fernando Alfonso
No abstract text is available yet for this article.
February 2017: Circulation. Cardiovascular Interventions
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