Spontaneous Coronary Artery Dissection in Acute Coronary Syndrome: Report of a Series of Cases with 17 Patients

Introduction

Spontaneous Coronary Artery Dissection (SCAD) has prevalence of 0.2 to 1.1% of the total angiograms performed for Acute Coronary Syndrome (ACS)^, and mostly affects young women. The etiology is not fully known,^, but the term “spontaneous” excludes all dissections associated with interventions or trauma. Treatment varies from the conservative approach to revascularization, with a favorable long-term prognosis.

This study aimed to assess the characteristics, the clinical presentation, therapeutic approach and follow-up of cases of SCAD with ACS presentation during a period of 7 years.

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