Main Article Content
Abstract
RESUME
La dissection coronaire spontanée est une cause fréquente de syndrome coronaire aigu ou de mort subite chez la femme, en particulier la femme jeune sans ou avec peu facteurs de risque d’athérosclérose. Son diagnostic repose sur l’angiographie coronaire parfois couplée à l’imagerie endocoronaire en occurrence la tomographie par cohérence optique. Sa prise en charge thérapeutique est basée sur le traitement conservateur avec une évolution favorable et un bon pronostic dans la grande majorité des cas.
ABSTRACT
Spontaneous coronary dissection is a common cause of acute coronary syndrome or sudden death in women, especially young women with little or no risk factors for atherosclerosis. Its diagnosis is based on coronary angiography, sometimes coupled with endocoronary imaging, in this case optical coherence tomography. Its therapeutic management is based on conservative treatment with a favorable course and a good prognosis in the vast majority of cases. However, there is currently no sufficient means to prevent recurrences apart from a few commonsense measures such as optimal control of blood pressure or contraception in women of childbearing age.
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References
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- - Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection.
- - Tweet MS, Eleid MF, Best PJM, Lennon RJ, Lerman A, Rihal CS, et al. Spontaneous coronary artery dissection : revascularization versus conservative therapy, Circ Cardiovasc Interv 2014 ;7(6) :777-86
- -Yeung DF, Saw J. multiple recurrence of spontaneous coronary artery dissection in woman with fibromuscular dysplasia. Catheter CardiovascInterv 2019, http//dx.doig.org/10.1002/ccd.28301Epub ahead of print.
- -Terzian, et al. Fenestration d’un hématome coronaire spontané avec dissection menaçante : à propos d’un cas de dissections coronaires spontanées récidivantes sur plusieurs vaisseaux chez une femme jeune. Ann Cardiol Angeiol (Paris) (2019), https://doi.org/10.1016/j.ancard.2019.08.009
- -Vrints CJM. Spontaneous coronary artery dissection. Heart 2010 ; 96(10) :801-8
- - Vanzetto G, Berger-Coz E, Barone-Rochette G, Chavanon O, Bouvaist H, Hacini R, et al. Prevalence, therapeutic management and medium-term pronostic of spontaneous coronary artery dissection : results from a data-base of 11,605 patients. Eur J Cardiothorac surg 2009 ; 35(2) :250-4
References
-Saw J, Aymong E, Mancini GBJ, Sedlak T, Starovoytov a, Ricci D. Non atherosclerotic coronary artery disease in young women. Can J Cardiol 2014 ; 30(7) :814-9
-Saw J, Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv 2014 ;84 :1115-22
-Saw J, Spontaneous coronary artery dissection. Can J Cardiol 2013, http://dx.doi.org/10.1016/j.cjca.2012.12.018.
-Adlam d, Alfonso F, Maas A, Vrints C. Writing Committee. European Society of cardiology, acute Cardiovascular care association, SCAD study group : a position paper on spontaneous coronary artery dissection. Eur Heart J 2018 ; 39 :3353-68
-Motreff P, Malcles G, Combaret N, Barber-Chamoux N, Bouajila S, Pereira B, et al. How and when to suspect spontaneous coronary artery dissection : novel insights from a single-centre series on prevalence and angiographic appearance. Euro Intervention 2017 ; 12 : e2236-43
-Alfonso F, Paulo M, Gonzalo N, Dutary J, Jiménez-Quevedo P, Lennie V, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. J Am Coll Cardiol 2012 ;59 :1073-9
- Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection.
- Tweet MS, Eleid MF, Best PJM, Lennon RJ, Lerman A, Rihal CS, et al. Spontaneous coronary artery dissection : revascularization versus conservative therapy, Circ Cardiovasc Interv 2014 ;7(6) :777-86
-Yeung DF, Saw J. multiple recurrence of spontaneous coronary artery dissection in woman with fibromuscular dysplasia. Catheter CardiovascInterv 2019, http//dx.doig.org/10.1002/ccd.28301Epub ahead of print.
-Terzian, et al. Fenestration d’un hématome coronaire spontané avec dissection menaçante : à propos d’un cas de dissections coronaires spontanées récidivantes sur plusieurs vaisseaux chez une femme jeune. Ann Cardiol Angeiol (Paris) (2019), https://doi.org/10.1016/j.ancard.2019.08.009
-Vrints CJM. Spontaneous coronary artery dissection. Heart 2010 ; 96(10) :801-8
- Vanzetto G, Berger-Coz E, Barone-Rochette G, Chavanon O, Bouvaist H, Hacini R, et al. Prevalence, therapeutic management and medium-term pronostic of spontaneous coronary artery dissection : results from a data-base of 11,605 patients. Eur J Cardiothorac surg 2009 ; 35(2) :250-4