Key result
In a series of five patients with spontaneous coronary artery dissection, all survived and four out of five were asymptomatic at a mean follow-up of 27 months without requiring revascularization.
Why the study?
What are the clinical characteristics and long-term outcomes of patients with spontaneous coronary artery dissection managed without mechanical revascularization?
Case Report (n=5)
What are the clinical characteristics and long-term outcomes of patients with spontaneous coronary artery dissection managed without mechanical revascularization?
This case series suggests that patients with spontaneous coronary artery dissection may have favorable long-term survival and symptom resolution without mechanical revascularization.
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Conservative SCAD management may be feasible in select cases; leaves open need for larger prospective studies before practice change.
Zampieri et al. (1996) conducted a case report in spontaneous coronary artery dissection (SCAD) (n=5). In a series of five patients with spontaneous coronary artery dissection, all survived and four out of five were asymptomatic at a mean follow-up of 27 months without requiring revascularization.
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