Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature
Spontaneous coronary artery dissection (SCAD) is a very rare disease, associated with high mortality rate, whose etiology and pathogenesis are poorly understood. Its sporadic nature and the varied angiographic extent make firm recommendations regarding revascularization impossible. The case describe...
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Hindawi Limited
2012-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/498465 |
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doaj-20b4b1761c984ca3b33b8f368be872462020-11-24T21:54:36ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942012-01-01201210.1155/2012/498465498465Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the LiteratureAlessio Arrivi0Caterina Milici1Carlo Bock2Attilio Placanica3Enrico Boschetti4Marcello Dominici5Interventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalyInterventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, ItalySpontaneous coronary artery dissection (SCAD) is a very rare disease, associated with high mortality rate, whose etiology and pathogenesis are poorly understood. Its sporadic nature and the varied angiographic extent make firm recommendations regarding revascularization impossible. The case described is that of a young, otherwise healthy woman, without a known underlying condition which may lead to SCAD, but with a history of intense psychological stress. We managed the patient with a conservative approach based on watchful waiting, medical therapy, and plain old balloon angioplasty (POBA) with low inflation atmospheres.http://dx.doi.org/10.1155/2012/498465 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Alessio Arrivi Caterina Milici Carlo Bock Attilio Placanica Enrico Boschetti Marcello Dominici |
| spellingShingle |
Alessio Arrivi Caterina Milici Carlo Bock Attilio Placanica Enrico Boschetti Marcello Dominici Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature Case Reports in Vascular Medicine |
| author_facet |
Alessio Arrivi Caterina Milici Carlo Bock Attilio Placanica Enrico Boschetti Marcello Dominici |
| author_sort |
Alessio Arrivi |
| title |
Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature |
| title_short |
Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature |
| title_full |
Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature |
| title_fullStr |
Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature |
| title_full_unstemmed |
Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature |
| title_sort |
idiopathic, serial coronary vessels dissection in a young woman with psychological stress: a case report and review of the literature |
| publisher |
Hindawi Limited |
| series |
Case Reports in Vascular Medicine |
| issn |
2090-6986 2090-6994 |
| publishDate |
2012-01-01 |
| description |
Spontaneous coronary artery dissection (SCAD) is a very rare disease, associated with high mortality rate, whose etiology and pathogenesis are poorly understood. Its sporadic nature and the varied angiographic extent make firm recommendations regarding revascularization impossible. The case described is that of a young, otherwise healthy woman, without a known underlying condition which may lead to SCAD, but with a history of intense psychological stress. We managed the patient with a conservative approach based on watchful waiting, medical therapy, and plain old balloon angioplasty (POBA) with low inflation atmospheres. |
| url |
http://dx.doi.org/10.1155/2012/498465 |
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