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A rare disease process with deadly consequences and a therapeutic dilemma spontaneous coronary artery dissection: A literature review

机译：一种罕见的疾病过程，具有致命的后果和自发性冠状动脉夹层的治疗难题：文献综述

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Spontaneous coronary artery dissection is a rare but deadly disease process that continues to have an elusive pathophysiology and treatment strategy. We present a 32 year old patient who suffered from a spontaneous dissection of the left anterior descending artery. Multiple case reviews in the literature were reviewed, but no randomized controlled trials are available to help guide our therapy. A conservative strategy was chosen until her pain recurred and a second-look angiogram was performed. Coronary dissection progressed to the circumflex system and severe ventricular dysfunction was noted. The patient recovered well from coronary artery bypass grafting and was discharged in stable condition. This report reviews the proposed pathophysiology and summarizes the literature in terms of appropriate management of these patients.
机译：自发性冠状动脉夹层是一种罕见但致命的疾病过程，其病理生理和治疗策略仍然难以捉摸。我们介绍了一名32岁的患者，患者左前降支动脉自发性解剖。文献中对多个病例进行了回顾，但尚无随机对照试验可帮助指导我们的治疗。选择一种保守的策略，直到疼痛再次发作并进行第二次血管造影。冠状动脉夹层进展至回旋支系统，发现严重的心室功能不全。患者从冠状动脉搭桥术中恢复良好，出院情况稳定。本报告回顾了拟议的病理生理学，并就这些患者的适当治疗进行了总结。

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