Endovascular treatment of a female patient with spontaneous dissection of the right coronary artery

• Golukhova E.Z.
• Abrosimov A.V.
• Losev V.V.
• Petrosyan K.V.

Abstract

Spontaneouss coronary artery dissection is one of the poorly investigated causes of the development of acute coronary syndrome predominantly diagnosed in women under 50 years of age. From the pathophysiological point of view, this condition may be characterised by sudden dissection of the coronary artery vascular wall with formation of a false lumen inside the vessel and obstruction of blood flow by the detached endothelium. Many researchers believe that a provoking factor becomes intimal tear on the background of bleeding from the vasa vasorum, thus leading to the appearance of a subintimal hematoma whose enlargement results in extension of the dissection zone, followed by detachment of vascular wall layers and formation of the true and false thrombus-containing lumens of the coronary artery. Optical coherence tomography may be a method of choice in suspected spontaneous coronary artery dissection.

This article describes a clinical case report regarding treatment of spontaneous coronary artery dissection in a young woman on the background of exposure to an exogenous factor.

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Golukhova E.Z., Abrosimov A.V., Losev V.V., Petrosyan K.V. Endovascular treatment of a female patient with spontaneous dissection of the right coronary artery. Angiology and Vascular Surgery. 2022; 28 (1): 135–9. DOI: https://doi.org/10.33029/1027-6661-2022-28-1-135-139 (in Russian)

Keywords:acute coronary syndrome; spontaneous coronary artery dissection; optical coherence tomography; percutaneous coronary intervention; intravascular imaging

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