Recurrent Spontaneous Coronary Dissection: When the Conservative Strategy Fails

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Published: Apr 22, 2025
DOI: https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr82
Keywords:
Coronary Artery Disease, Spontaneous Coronary Artery Dissection, Acute Coronary Syndrome

Main Article Content

Miguel Bernardino Antunes Vicente
Cardiology Department, Coimbra Hospital and University Centre
https://orcid.org/0000-0002-1329-5229
Roger Dopico
Department of Hemodynamics and Interventional Cardiology, Carlos J. Finlay Hospital
Luis Mariano
Cardiovascular and Thoracic Centre, Clínica Girassol
Humberto Morais
Advanced Studies Center in Medical Education and Training (CEDUMED), Faculty of Medicine, Agostinho Neto University
Paula Matadi
Independent researcher
Elizabeth Banzanga
Cardiovascular and Thoracic Centre, Clínica Girassol
Domingos Ramos
Cardiology Department, Coimbra Hospital and University Centre

Article Details

How to Cite
Vicente, M. B. A., Dopico, R., Mariano, L., Morais, H., Matadi, P., Banzanga, E., & Ramos, D. (2025). Recurrent Spontaneous Coronary Dissection: When the Conservative Strategy Fails. Brazilian Journal of Case Reports, 5(1), bjcr82. https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr82
Issue
Vol. 5 No. 1 (2025): January/December - 2025
Section
Clinical Images
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Author Biographies

Miguel Bernardino Antunes Vicente, Cardiology Department, Coimbra Hospital and University Centre

Cardiology Department, Coimbra Hospital and University Centre, Coimbra, Portugal.

Cardiovascular and Thoracic Centre, Clínica Girassol, Luanda, Angola.

Roger Dopico, Department of Hemodynamics and Interventional Cardiology, Carlos J. Finlay Hospital

Department of Hemodynamics and Interventional Cardiology, Carlos J. Finlay Hospital, Havana, Cuba.

Luis Mariano, Cardiovascular and Thoracic Centre, Clínica Girassol

Cardiovascular and Thoracic Centre, Clínica Girassol, Luanda, Angola.

Humberto Morais, Advanced Studies Center in Medical Education and Training (CEDUMED), Faculty of Medicine, Agostinho Neto University

Advanced Studies Center in Medical Education and Training (CEDUMED), Faculty of Medicine, Agostinho Neto University, Luanda, Angola.

Main Military Hospital / Higher Institute, Luanda, Angola.

Paula Matadi, Independent researcher

Independent researcher, Luanda, Angola.

Elizabeth Banzanga, Cardiovascular and Thoracic Centre, Clínica Girassol

Cardiovascular and Thoracic Centre, Clínica Girassol, Luanda, Angola.

Domingos Ramos, Cardiology Department, Coimbra Hospital and University Centre

Cardiology Department, Coimbra Hospital and University Centre, Coimbra, Portugal.

References

Pretty HC. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. BMJ. 1931; 1:667.

Saw J, Starovoytov A, Aymong E, Inohara T, Alfadhel M, McAlister C. et al. Canadian Spontaneous Coronary Artery Dissection Cohort Study: 3-Year Outcomes. J Am Coll Cardiol. 2022 Oct 25;80(17):1585-1597. doi: 10.1016/j.jacc.2022.08.759. PMID: 36265953.

Vicente M, Zenzela D, Ramos D, Gonçalves L. Spontaneous Coronary Dissection in Late Puerperium: What Now? Case Report. Braz J Case Rep. 2024;5(1):bjcr9.https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr9.

Hayes SN, Tweet MS, Adlam D, Kim ES, Gulati R, Price JE, Rose CH. Spontaneous coronary artery dissection: A contemporary review. J Am Coll Cardiol. 2020;76(8):961-984.https://doi.org/10.1016/j.jacc.2020.05.084.

Patail H, Sharma T, Aronow W, Haidry SA. Current challenges in treatment and management of spontaneous coronary artery dissection. Hosp Pract (1995). 2023 Oct;51(4):192-198. doi: 10.1080/21548331.2023.2268012. Epub 2023 Nov 16. PMID: 37803492.

Yip A, Saw J. Spontaneous coronary artery dissection - A review. Cardiovasc Diagn Ther. 2015 Feb;5(1):37-48. doi: 10.3978/j.issn.2223-3652.2015.01.08. PMID: 25774346; PMCID: PMC4329168.

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