cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2022-3193cardiovascular-3193Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEW ARTICLESСовременные аспекты диагностики и лечения пациентов со спонтанной диссекцией коронарных артерийModern aspects of diagnosis and treatment of patients with spontaneous coronary artery dissectionhttps://orcid.org/0000-0003-3235-3364ЗайнобидиновШ. Ш.ZainobidinovSh. Sh.

Зайнобидинов Шохбозбек Шаробидин угли — врач по рентгенэндоваскулярным диагностике и лечению

Новосибирск

Novosibirsk

shaxboz.zaynobiddinov95@mail.ruhttps://orcid.org/0000-0001-5419-913XХелимскийД. А.KhelimskyD. A.

Хелимский Дмитрий Александрович — кандидат медицинских наук, научный сотрудник научно-исследовательского отдела эндоваскулярной хирургии, врач по рентгенэндоваскулярным диагностике и лечению

Новосибирск

Novosibirsk

dkhelim@mail.ruhttps://orcid.org/0000-0002-2320-2233БарановА. А.BaranovA. A.

Баранов Алексей Алексеевич — клинический ординатор по рентгенэндоваскулярным диагностике и лечению

Новосибирск

Novosibirsk

ivrach@icloud.comhttps://orcid.org/0000-0003-4480-2585БадоянА. Г.BadoyanA. G.

Бадоян Арам Гозоевич  — кандидат медицинских наук, врач по рентгенэндоваскулярным диагностике и  лечению

Новосибирск

Novosibirsk

soir007@yandex.ruhttps://orcid.org/0000-0001-5214-8996КрестьяниновО. В.KrestyaninovO. V.

Крестьянинов Олег Викторович — доктор медицинских наук, зав. научно-исследовательским отделом эндоваскулярной хирургии, врач по рентгенэндоваскулярным диагностике и лечению

Новосибирск

Novosibirsk

o_krestyaninov@meshalkin.ruФГБУ “Национальный медицинский исследовательский центр им. акад. Е.Н. Мешалкина” Минздрава РоссииMeshalkin National Medical Research Center20220607202221831933193Copyright © Зайнобидинов Ш.Ш., Хелимский Д.А., Баранов А.А., Бадоян А.Г., Крестьянинов О.В., 20222022Зайнобидинов Ш.Ш., Хелимский Д.А., Баранов А.А., Бадоян А.Г., Крестьянинов О.В.Zainobidinov S.S., Khelimsky D.A., Baranov A.A., Badoyan A.G., Krestyaninov O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/3193

Спонтанная диссекция коронарных артерий (СДКА) является одной из наиболее редких причин острого коронарного синдрома. СДКА чаще всего встречается у женщин <60 лет (≥90% случаев) в сравнении с  мужчинами (10-12%). Бурное развитие технологий, применяемых в  интервенционной кардиологии, позволило улучшить диагностику и  понять механизм развития данного патологического состояния. Тактика ведения пациентов с  СДКА дискутабельна и  значительно отличается от подходов к  лечению атеросклеротического поражения коронарных артерий. В  обзоре представлены результаты проведенных в  последние годы исследований. Также описана ангиографическая классификация СДКА, алгоритм диагностики и  выбор оптимальной тактики лечения в  зависимости от клинических проявлений.

Spontaneous coronary artery dissection (SCAD) is one of the rarest causes of acute coronary syndrome. SCAD is most common in women <60 years of age (≥90% of cases) compared with men (10-12%). The rapid development of technologies used in interventional cardiology has made it possible to improve diagnostics and understand the pathogenesis. The management strategy in patients with SCAD is debatable and differs significantly from approaches to coronary atherosclerosis treatment. The review presents the results of recent studies. The angiographic classification of SCAD, the diagnostic algorithm and the choice of optimal treatment depending on clinical manifestations are also described.

острый коронарный синдромспонтанная диссекция коронарных артерийинфаркт миокарда.acute coronary syndromespontaneous coronary artery dissectionmyocardial infarctionReferencesSaw J, Starovoytov A, Humphries K, et al. Canadian spontaneous coronary artery dissection cohort study: in-hospital and 30day outcomes. Eur Heart J. 2019;40(15):1188-97. doi:10.1093/eurheartj/ehz007.Saw J, Starovoytov A, Humphries K, et al. Canadian spontaneous coronary artery dissection cohort study: in-hospital and 30day outcomes. Eur Heart J. 2019;40(15):1188-97. doi:10.1093/eurheartj/ehz007.Combaret N, Gerbaud E, Dérimay F, et al. National French registry of spontaneous coronary artery dissections: prevalence of fibromuscular dysplasia and genetic analyses. EuroIntervention. 2021;17(6):508-15. doi:10.4244/eij-d-20-01046.Combaret N, Gerbaud E, Dérimay F, et al. National French registry of spontaneous coronary artery dissections: prevalence of fibromuscular dysplasia and genetic analyses. EuroIntervention. 2021;17(6):508-15. doi:10.4244/eij-d-20-01046.Mahmoud AN, Taduru SS, Mentias A, et al. Trends of Incidence, Clinical Presentation, and In-Hospital Mortality Among Women With Acute Myocardial Infarction With or Without Spontaneous Coronary Artery Dissection: A Population-Based Analysis. JACC Cardiovasc Interv. 2018;11(1):80-90. doi:10.1016/j.jcin.2017.08.016.Mahmoud AN, Taduru SS, Mentias A, et al. Trends of Incidence, Clinical Presentation, and In-Hospital Mortality Among Women With Acute Myocardial Infarction With or Without Spontaneous Coronary Artery Dissection: A Population-Based Analysis. JACC Cardiovasc Interv. 2018;11(1):80-90. doi:10.1016/j.jcin.2017.08.016.Pretty H. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. BMJ. 1931;1:667.Pretty H. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. BMJ. 1931;1:667.Claudon DG, Claudon DB, Edwards J, et al. Primary dissecting aneurysm of coronary artery. A cause of acute myocardial ischemia. Circulation. 1972;45(2):259-66. doi:10.1161/01.CIR.45.2.259.Claudon DG, Claudon DB, Edwards J, et al. Primary dissecting aneurysm of coronary artery. A cause of acute myocardial ischemia. Circulation. 1972;45(2):259-66. doi:10.1161/01.CIR.45.2.259.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(36):3353-68. doi:10.1093/eurheartj/ehy080.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(36):3353-68. doi:10.1093/eurheartj/ehy080.Rashid HN, Wong DT, Wijesekera H, et al. Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome — A single-centre Australian experience. Int J Cardiol. 2016;202:336-8. doi:10.1016/j.ijcard.2015.09.072.Rashid HN, Wong DT, Wijesekera H, et al. Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome — A single-centre Australian experience. Int J Cardiol. 2016;202:336-8. doi:10.1016/j.ijcard.2015.09.072.Nakashima T, Noguchi T, Haruta S, et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. Int J Cardiol. 2016;207:341-8. doi:10.1016/j.ijcard.2016.01.188.Nakashima T, Noguchi T, Haruta S, et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. Int J Cardiol. 2016;207:341-8. doi:10.1016/j.ijcard.2016.01.188.Hill SF, Sheppard MN. Non-atherosclerotic coronary artery disease associated with sudden cardiac death. Heart 2010;96:1119-25. doi:10.1136/hrt.2009.185157.Hill SF, Sheppard MN. Non-atherosclerotic coronary artery disease associated with sudden cardiac death. Heart 2010;96:1119-25. doi:10.1136/hrt.2009.185157.Vanzetto G, Berger-Coz E, Barone-Rochette G, et al. Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients. Eur J Cardiothorac Surg. 2009;35(2):250-4. doi:10.1016/j.ejcts.2008.10.023.Vanzetto G, Berger-Coz E, Barone-Rochette G, et al. Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients. Eur J Cardiothorac Surg. 2009;35(2):250-4. doi:10.1016/j.ejcts.2008.10.023.Clare R, Duan L, Phan D, et al. Characteristics and Clinical Outcomes of Patients With Spontaneous Coronary Artery Dissection. J Am Heart Assoc. 2019;8(10):e012570. doi:10.1161/jaha.119.012570.Clare R, Duan L, Phan D, et al. Characteristics and Clinical Outcomes of Patients With Spontaneous Coronary Artery Dissection. J Am Heart Assoc. 2019;8(10):e012570. doi:10.1161/jaha.119.012570.Hayes SN, Kim ESH, Saw J, et al. American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation. 2018;137(19):e523-57. doi:10.1161/CIR.0000000000000564.Hayes SN, Kim ESH, Saw J, et al. American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation. 2018;137(19):e523-57. doi:10.1161/CIR.0000000000000564.Saw J, Aymong E, Sedlak T, et al. Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv. 2014;7(5):645-55. doi:10.1161/CIRCINTERVENTIONS.114.001760.Saw J, Aymong E, Sedlak T, et al. Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv. 2014;7(5):645-55. doi:10.1161/CIRCINTERVENTIONS.114.001760.Sharma S, Kaadan MI, Duran JM, et al. Risk Factors, Imaging Findings, and Sex Differences in Spontaneous Coronary Artery Dissection. Am J Cardiol. 2019;123(11):1783-7. doi:10.1016/j.amjcard.2019.02.040.Sharma S, Kaadan MI, Duran JM, et al. Risk Factors, Imaging Findings, and Sex Differences in Spontaneous Coronary Artery Dissection. Am J Cardiol. 2019;123(11):1783-7. doi:10.1016/j.amjcard.2019.02.040.Tweet MS, Hayes SN, Codsi E, et al. Spontaneous Coronary Artery Dissection Associated With Pregnancy. J Am Coll Cardiol. 2017;70(4):426-35. doi:10.1016/j.jacc.2017.05.055.Tweet MS, Hayes SN, Codsi E, et al. Spontaneous Coronary Artery Dissection Associated With Pregnancy. J Am Coll Cardiol. 2017;70(4):426-35. doi:10.1016/j.jacc.2017.05.055.Havakuk O, Goland S, Mehra A, et al. Pregnancy and the Risk of Spontaneous Coronary Artery Dissection: An Analysis of 120 Contemporary Cases. Circ Cardiovasc Interv. 2017;10(3):e004941. doi:10.1161/CIRCINTERVENTIONS.117.004941.Havakuk O, Goland S, Mehra A, et al. Pregnancy and the Risk of Spontaneous Coronary Artery Dissection: An Analysis of 120 Contemporary Cases. Circ Cardiovasc Interv. 2017;10(3):e004941. doi:10.1161/CIRCINTERVENTIONS.117.004941.Elkayam U, Jalnapurkar S, Barakkat MN, et al. Pregnancy-associated acute myocardial infarction: a review of contemporary experience in 150 cases between 2006 and 2011. Circulation. 2014;129(16):1695702. doi:10.1161/CIRCULATIONAHA.113.002054.Elkayam U, Jalnapurkar S, Barakkat MN, et al. Pregnancy-associated acute myocardial infarction: a review of contemporary experience in 150 cases between 2006 and 2011. Circulation. 2014;129(16):1695702. doi:10.1161/CIRCULATIONAHA.113.002054.Farmer RD, Lawrenson RA. Oral contraceptives and venous thromboembolic disease: the findings from database studies in the United Kingdom and Germany. Am J Obstet Gynecol. 1998;179(3 Pt 2):S78-86. doi:10.1053/ob.1998.v179.a92634.Farmer RD, Lawrenson RA. Oral contraceptives and venous thromboembolic disease: the findings from database studies in the United Kingdom and Germany. Am J Obstet Gynecol. 1998;179(3 Pt 2):S78-86. doi:10.1053/ob.1998.v179.a92634.Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126(5):579-88. doi:10.1161/CIRCULATIONAHA.112.105718.Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126(5):579-88. doi:10.1161/CIRCULATIONAHA.112.105718.Motreff P, Malcles G, Combaret N, et al. How and when to suspect spontaneous coronary artery dissection: novel insights from a single-centre series on prevalence and angiographic appearance. EuroIntervention. 2017;12(18):e2236-43. doi:10.4244/eij-d-16-00187.Motreff P, Malcles G, Combaret N, et al. How and when to suspect spontaneous coronary artery dissection: novel insights from a single-centre series on prevalence and angiographic appearance. EuroIntervention. 2017;12(18):e2236-43. doi:10.4244/eij-d-16-00187.Luong C, Starovoytov A, Heydari M, et al. Clinical presentation of patients with spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2017;89(7):1149-54. doi:10.1002/ccd.26977.Luong C, Starovoytov A, Heydari M, et al. Clinical presentation of patients with spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2017;89(7):1149-54. doi:10.1002/ccd.26977.Hassan S, Prakash R, Starovoytov A, et al. Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing. JACC Cardiovasc Interv. 2019;12(6):51827. doi:10.1016/j.jcin.2018.12.011.Hassan S, Prakash R, Starovoytov A, et al. Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing. JACC Cardiovasc Interv. 2019;12(6):51827. doi:10.1016/j.jcin.2018.12.011.Saw J, Humphries K, Aymong E, et al. Spontaneous Coronary Artery Dissection: Clinical Outcomes and Risk of Recurrence. J Am Coll Cardiol. 2017;70(9):1148-58. doi:10.1016/j.jacc.2017.06.053.Saw J, Humphries K, Aymong E, et al. Spontaneous Coronary Artery Dissection: Clinical Outcomes and Risk of Recurrence. J Am Coll Cardiol. 2017;70(9):1148-58. doi:10.1016/j.jacc.2017.06.053.Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2014;84(7):1115-22. doi:10.1002/ccd.25293.Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2014;84(7):1115-22. doi:10.1002/ccd.25293.Saw J, Mancini GB, Humphries K, et al. Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging. Catheter Cardiovasc Interv. 2016;87(2):E54-61. doi:10.1002/ccd.26022.Saw J, Mancini GB, Humphries K, et al. Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging. Catheter Cardiovasc Interv. 2016;87(2):E54-61. doi:10.1002/ccd.26022.Leipsic J, Abbara S, Achenbach S, et al. SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee. J Cardiovasc Comput Tomogr. 2014;8(5):342-58. doi:10.1016/j.jcct.2014.07.003.Leipsic J, Abbara S, Achenbach S, et al. SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee. J Cardiovasc Comput Tomogr. 2014;8(5):342-58. doi:10.1016/j.jcct.2014.07.003.Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52(21):1724-32. doi:10.1016/j.jacc.2008.07.031.Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52(21):1724-32. doi:10.1016/j.jacc.2008.07.031.Eleid MF, Tweet MS, Young PM, et al. Spontaneous coronary artery dissection: challenges of coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2018;7(7):60913. doi:10.1177/2048872616687098.Eleid MF, Tweet MS, Young PM, et al. Spontaneous coronary artery dissection: challenges of coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2018;7(7):60913. doi:10.1177/2048872616687098.Torres-Ayala SC, Maldonado J, Bolton JS, et al. Coronary computed tomography angiography of spontaneous coronary artery dissection: a case report and review of the literature. Am J Case Rep. 2015;16:130-5. doi:10.12659/ajcr.892805.Torres-Ayala SC, Maldonado J, Bolton JS, et al. Coronary computed tomography angiography of spontaneous coronary artery dissection: a case report and review of the literature. Am J Case Rep. 2015;16:130-5. doi:10.12659/ajcr.892805.Alzand BSN, Vanneste L, Fonck D, et al. Spontaneous coronary artery dissection undissolved using cardiac computed tomography. Int J Cardiol. 2016;222:1040-1. doi:10.1016/j.ijcard.2016.08.058.Alzand BSN, Vanneste L, Fonck D, et al. Spontaneous coronary artery dissection undissolved using cardiac computed tomography. Int J Cardiol. 2016;222:1040-1. doi:10.1016/j.ijcard.2016.08.058.Tweet MS, Akhtar NJ, Hayes SN, et al. Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2019;8(5):467-475. doi.org/10.1177/2048872617753799.Tweet MS, Akhtar NJ, Hayes SN, et al. Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2019;8(5):467-475. doi.org/10.1177/2048872617753799.Rogowski S, Maeder MT, Weilenmann D, et al. Spontaneous Coronary Artery Dissection: Angiographic Follow-Up and LongTerm Clinical Outcome in a Predominantly Medically Treated Population. Catheter Cardiovasc Interv. 2017;89(1):59-68. doi:10.1002/ccd.26383.Rogowski S, Maeder MT, Weilenmann D, et al. Spontaneous Coronary Artery Dissection: Angiographic Follow-Up and LongTerm Clinical Outcome in a Predominantly Medically Treated Population. Catheter Cardiovasc Interv. 2017;89(1):59-68. doi:10.1002/ccd.26383.Tweet MS, Eleid MF, Best PJ, et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv. 2014;7(6):777-86. doi:10.1161/circinterventions.114.001659.Tweet MS, Eleid MF, Best PJ, et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv. 2014;7(6):777-86. doi:10.1161/circinterventions.114.001659.Macaya F, Salinas P, Gonzalo N, et al. Spontaneous coronary artery dissection: contemporary aspects of diagnosis and patient management. Open Heart. 2018;5(2):e000884. doi:10.1136/openhrt-2018-000884.Macaya F, Salinas P, Gonzalo N, et al. Spontaneous coronary artery dissection: contemporary aspects of diagnosis and patient management. Open Heart. 2018;5(2):e000884. doi:10.1136/openhrt-2018-000884.Alfonso F, Paulo M, Dutary J. Endovascular imaging of angiographically invisible spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2012;5(4):452-3. doi:10.1016/j.jcin.2012.01.016.Alfonso F, Paulo M, Dutary J. Endovascular imaging of angiographically invisible spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2012;5(4):452-3. doi:10.1016/j.jcin.2012.01.016.Saw J, Mancini GBJ, Humphries KH. Contemporary Review on Spontaneous Coronary Artery Dissection. J Am Coll Cardiol. 2016;68(3):297-312. doi:10.1016/j.jacc.2016.05.034.Saw J, Mancini GBJ, Humphries KH. Contemporary Review on Spontaneous Coronary Artery Dissection. J Am Coll Cardiol. 2016;68(3):297-312. doi:10.1016/j.jacc.2016.05.034.Eleid MF, Guddeti RR, Tweet MS, et al. Coronary artery tortuosity in spontaneous coronary artery dissection: angiographic characteristics and clinical implications. Circ Cardiovasc Interv. 2014;7(5):656-62. doi:10.1161/circinterventions.114.001676.Eleid MF, Guddeti RR, Tweet MS, et al. Coronary artery tortuosity in spontaneous coronary artery dissection: angiographic characteristics and clinical implications. Circ Cardiovasc Interv. 2014;7(5):656-62. doi:10.1161/circinterventions.114.001676.García-Guimaraes M, Bastante T, Macaya F, et al. Spontaneous coronary artery dissection in Spain: clinical and angiographic characteristics, management, and in-hospital events. Rev Esp Cardiol (Engl Ed). 2021;74(1):15-23. English, Spanish. doi:10.1016/j.rec.2020.04.002.García-Guimaraes M, Bastante T, Macaya F, et al. Spontaneous coronary artery dissection in Spain: clinical and angiographic characteristics, management, and in-hospital events. Rev Esp Cardiol (Engl Ed). 2021;74(1):15-23. English, Spanish. doi:10.1016/j.rec.2020.04.002.Арефьев М.Н., Клыков Л.Л., Крылов В.В. и др. Инфаркт миокарда и проблема индивидуализации лечения. Клинический пример спонтанной диссекции двух коронарных артерий. Кардиоваскулярная терапия и профилактика. 2017;16(4):8892. doi:10.15829/1728-8800-2017-4-88-92.Arefiev MN, Klykov LL, Krylov VV, et al. Myocardial infarction and the issue of individualized management. Clinical case of spontaneous dissection in two coronary arteries. Cardiovascular Therapy and Prevention. 2017;16(4):88-92. (In Russ.) doi:10.15829/1728-8800-2017-4-88-92.Vrints CJ. Spontaneous coronary artery dissection. Heart. 2010;96(10):801-8. doi:10.1136/hrt.2008.162073.Vrints CJ. Spontaneous coronary artery dissection. Heart. 2010;96(10):801-8. doi:10.1136/hrt.2008.162073.Cerrato E, Giacobbe F, Quadri G, et al. DISCO Collaborators. Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry. Eur Heart J. 2021;42(33):3161-71. doi:10.1093/eurheartj/ehab372.Cerrato E, Giacobbe F, Quadri G, et al. DISCO Collaborators. Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry. Eur Heart J. 2021;42(33):3161-71. doi:10.1093/eurheartj/ehab372.Lempereur M, Fung A, Saw J. Stent mal-apposition with resorption of intramural hematoma with spontaneous coronary artery dissection. Cardiovasc Diagn Ther. 2015;5(4):323-9. doi:10.3978%2Fj.issn.2223-3652.2015.04.05.Lempereur M, Fung A, Saw J. Stent mal-apposition with resorption of intramural hematoma with spontaneous coronary artery dissection. Cardiovasc Diagn Ther. 2015;5(4):323-9. doi:10.3978%2Fj.issn.2223-3652.2015.04.05.Watt J, Egred M, Khurana A, et al. 1-Year Follow-Up Optical Frequency Domain Imaging of Multiple Bioresorbable Vascular Scaffolds for the Treatment of Spontaneous Coronary Artery Dissection. JACC Cardiovasc Interv. 2016;9(4):389-91. doi:10.1016/j.jcin.2015.11.030.Watt J, Egred M, Khurana A, et al. 1-Year Follow-Up Optical Frequency Domain Imaging of Multiple Bioresorbable Vascular Scaffolds for the Treatment of Spontaneous Coronary Artery Dissection. JACC Cardiovasc Interv. 2016;9(4):389-91. doi:10.1016/j.jcin.2015.11.030.Panoulas VF, Ielasi A. Bioresorbable scaffolds and drug-eluting balloons for the management of spontaneous coronary artery dissections. J Thorac Dis. 2016;8(10):E1328-30. doi:10.21037/jtd.2016.10.54.Panoulas VF, Ielasi A. Bioresorbable scaffolds and drug-eluting balloons for the management of spontaneous coronary artery dissections. J Thorac Dis. 2016;8(10):E1328-30. doi:10.21037/jtd.2016.10.54.Camacho Freire SJ, Gómez Menchero AE, Roa Garrido J, et al. Bioresorbable Scaffolds in Spontaneous Coronary Artery Dissection: Long-Term Follow-Up in 4 Patients. Tex Heart Inst J. 2017;44(6):405-10. doi:10.14503%2FTHIJ-16-6059.Camacho Freire SJ, Gómez Menchero AE, Roa Garrido J, et al. Bioresorbable Scaffolds in Spontaneous Coronary Artery Dissection: Long-Term Follow-Up in 4 Patients. Tex Heart Inst J. 2017;44(6):405-10. doi:10.14503%2FTHIJ-16-6059.Macaya F, Salinas P, Gonzalo N, et al. Long-term followup of spontaneous coronary artery dissection treated with bioresorbable scaffolds. EuroIntervention. 2019;14(13):1403-5. doi:10.4244/eij-d-18-00519.Macaya F, Salinas P, Gonzalo N, et al. Long-term followup of spontaneous coronary artery dissection treated with bioresorbable scaffolds. EuroIntervention. 2019;14(13):1403-5. doi:10.4244/eij-d-18-00519.Прохорихин А. А., Фартаков Е. И., Малаев Д. У. и др. Оценка эффективности и безопасности биодеградируемого каркаса Absorb: 6-месячные результаты регистра Gabi R: Russia. Патология кровообращения и кардиохирургия. 2019;23(1S):S26-33. doi:10.21688/1681-3472-2019-1S-S26-S33.Prokhorikhin AA, Fartakov EI, Malaev DU, et al. Assessment Safety and efficacy of the Absorb bioresorbable scaffold: 6-month results from the Gabi R registry. Circulatory pathology and cardiac surgery. 2019;23(1S):S26-33. (In Russ.) doi:10.21688/1681-3472-2019-1S-S26-S33.Main A, Lombardi WL, Saw J. Cutting balloon angioplasty for treatment of spontaneous coronary artery dissection: case report, literature review, and recommended technical approaches. Cardiovasc Diagn Ther. 2019;9(1):50-4. doi:10.21037/cdt.2018.10.11.Main A, Lombardi WL, Saw J. Cutting balloon angioplasty for treatment of spontaneous coronary artery dissection: case report, literature review, and recommended technical approaches. Cardiovasc Diagn Ther. 2019;9(1):50-4. doi:10.21037/cdt.2018.10.11.Kaya E, Iwata H, Miyazaki S, et al. Successful Coronary Flow Restoration by Stent-Free Strategy Using the Pull-Back Method of Cutting Balloon in Spontaneous Coronary Artery Dissection. CJC Open. 2019;1(4):213-5. doi:10.1016%2Fj.cjco.2019.05.008.Kaya E, Iwata H, Miyazaki S, et al. Successful Coronary Flow Restoration by Stent-Free Strategy Using the Pull-Back Method of Cutting Balloon in Spontaneous Coronary Artery Dissection. CJC Open. 2019;1(4):213-5. doi:10.1016%2Fj.cjco.2019.05.008.Жукова Н. С., Шахнович Р. М., Меркулова И. Н. и др. Спонтанная диссекция коронарных артерий. Кардиология. 2019;59(9):52-63. doi:10.18087/cardio.2019.9.10269.Zhukova NS, Shakhnovich RM, Merkulova IN, et al. Spontaneous Coronary Artery Dissection. Kardiologiia. 2019;59(9):52-63. (In Russ.) doi:10.18087/cardio.2019.9.10269.

The authors declare that there are no conflicts of interest present.