cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2014-5-70-73cardiovascular-62Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCLINICAL CASEСПОНТАННАЯ ДИССЕКЦИЯ КОРОНАРНОЙ АРТЕРИИ КАК ПРИЧИНА РАЗВИТИЯ ОСТРОГО ИНФАРКТА МИОКАРДАSPONTANEOUS DISSECTION OF CORONARY ARTERY AS A CAUSE OF ACUTE MYOCARDIAL INFARCTIONПротасоваЕ. А.ProtasovaE. A.

младший научный сотрудник лаборатории неотложной кардиологии

ФурманН. В.FurmanN. V.

к. м.н., заведующий лабораторией неотложной кардиологии

ТитковИ. В.TitkovI. V.

научный сотрудник лаборатории инвазивной кардиологии

ОлейникА. О.OleynikA. O.

д. м.н., заведующий лабораторией инвазивной кардиологии

ГусевК. В.GusevK. V.

врач-кардиохирург

ФГБУ Саратовский научно-исследовательский институт кардиологии Минздрава России, СаратовFSBI Saratov Scientific-Research Institute for Cardiology of the Ministry of Health, Saratov2014201020141357073Copyright © Протасова Е.А., Фурман Н.В., Титков И.В., Олейник А.О., Гусев К.В., 20142014Протасова Е.А., Фурман Н.В., Титков И.В., Олейник А.О., Гусев К.В.Protasova E.A., Furman N.V., Titkov I.V., Oleynik A.O., Gusev K.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/62

Спонтанная диссекция коронарных артерий (СДКА) – редкая причина острого инфаркта миокарда. Представлены современные данные о частоте распространенности СДКА, факторах, предрасполагающих к ее развитию, данные о диагностике и лечении СДКА. Описан случай инфаркта миокарда, развившегося вследствие СДКА у мужчины 34 лет. 

Spontaneous dissection of coronary arteries (SDCA) is a rare cause factor for acute myocardial infarction. The data provided is modern on the prevalence of SDCA, its predisposing factors as the data on diagnostics and treatment of SDCA. The case described of the myocardial infarction due to SDCA in 34-year old male. 

инфаркт миокардаспонтанная диссекциякоронарные артерииmyocardial infarctionspontaneous dissectioncoronary arteriesReferencesJorgensen MB, Aharonian V, Mansukhani P, Mahrer PR. Spontaneous coronary dissection: A cluster of cases with this rare finding. Am Heart J 1994; 127: 1382-7.Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR. Spontaneous coronary dissection: A cluster of cases with this rare finding. Am Heart J 1994; 127: 1382-7.Thygesen K, Alpert JS, Jaffe AS, et al. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551-67.Thygesen K, Alpert JS, Jaffe AS, et al. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551-67.Vrints CJM. Spontaneous coronary artery dissection Heart 2010; 96: 801-8.Vrints CJM. Spontaneous coronary artery dissection Heart 2010; 96: 801-8.Biswas M, Sethi A, Voyce SJ. Spontaneous Coronary Artery Dissection: Case Report and Review of Literature. Heart Views 2012; 13: 149-54.Biswas M, Sethi A, Voyce SJ. Spontaneous Coronary Artery Dissection: Case Report and Review of Literature. Heart Views 2012; 13: 149-54.Pevzner DV, Basinkevich AB, Shahnovich RM, et al. Spontaneous coronary artery dissection. Cardiology 2012; 10: 92-6. Russian (Певзнер Д. В., Басинкевич А. Б., Шахнович Р.М и др. Спонтанная диссекция коронарных артерий. Кардиология 2012;10: 92-6).Pevzner DV, Basinkevich AB, Shahnovich RM, et al. Spontaneous coronary artery dissection. Cardiology 2012; 10: 92-6. Russian (Певзнер Д. В., Басинкевич А. Б., Шахнович Р.М и др. Спонтанная диссекция коронарных артерий. Кардиология 2012;10: 92-6).Tweet MS, Hayes SN, Pitta SR, et al Clinical Features, Management, and Prognosis of Spontaneous Coronary Artery Dissection. Circulation 2012; 126: 579-88.Tweet MS, Hayes SN, Pitta SR, et al Clinical Features, Management, and Prognosis of Spontaneous Coronary Artery Dissection. Circulation 2012; 126: 579-88.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 Cardio-thoracic Surg 2009; 35: 250-4.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 Cardio-thoracic Surg 2009; 35: 250-4.Mortensen KH, Thuesen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: A Western Denmark Heart Registry Study Catheter. Cardiovasc Interv 2009; 74(5): 710-7.Mortensen KH, Thuesen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: A Western Denmark Heart Registry Study Catheter. Cardiovasc Interv 2009; 74(5): 710-7.Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography. JACC 2012; 59(12): 1073-9.Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography. JACC 2012; 59(12): 1073-9.Maio SJJr, Kinsella SH, Silverman ME. Clinical course and long-term prognosis of spontaneous coronary artery dissection. Am J Cardiol 1989; 64: 471-4.Maio SJJr, Kinsella SH, Silverman ME. Clinical course and long-term prognosis of spontaneous coronary artery dissection. Am J Cardiol 1989; 64: 471-4.Fontanelli A, Olivari Z, La Vecchia L, et al. Spontaneous dissections of coronary arteries and acute coronary syndromes: rationale and design of the DISCOVERY, a multicenter prospective registry with a case-control group. J Cardiovasc Med 2009; 10: 94-9.Fontanelli A, Olivari Z, La Vecchia L, et al. Spontaneous dissections of coronary arteries and acute coronary syndromes: rationale and design of the DISCOVERY, a multicenter prospective registry with a case-control group. J Cardiovasc Med 2009; 10: 94-9.Almafragi A, Convens C, Heuvel PV. Spontaneous healing of spontaneous coronary artery dissection. Cardiol J 2010; 17(1): 92-5.Almafragi A, Convens C, Heuvel PV. Spontaneous healing of spontaneous coronary artery dissection. Cardiol J 2010; 17(1): 92-5.Cini R, Iezzi F, Sordini P, Pasceri V. Spontaneous left main coronary artery dissection. Interact Cardiovasc Thorac Surg 2008; 7(5): 943-4.Cini R, Iezzi F, Sordini P, Pasceri V. Spontaneous left main coronary artery dissection. Interact Cardiovasc Thorac Surg 2008; 7(5): 943-4.Tanis W, Stella PR, Pijlman AH, et al. Spontaneous coronary artery dissection: current insights and therapy Netherlands. Heart J 2008; 16(10): 344-9.Tanis W, Stella PR, Pijlman AH, et al. Spontaneous coronary artery dissection: current insights and therapy Netherlands. Heart J 2008; 16(10): 344-9.Rao VL, Rangarajan V. Chest Pain and an Angiographic Abnormality. JAMA 2013; 309(10): 1030-1.Rao VL, Rangarajan V. Chest Pain and an Angiographic Abnormality. JAMA 2013; 309(10): 1030-1.Alfonso F. Spontaneous Coronary Artery Dissection: New Insights From the Tip of the Iceberg? Circulation 2012; 126: 667-70.Alfonso F. Spontaneous Coronary Artery Dissection: New Insights From the Tip of the Iceberg? Circulation 2012; 126: 667-70.Koul AK, Hollander G, Moskovits N, et al. Coronary artery dissection during pregnancy and the postpartum period: two cases and review of the literature. Catheter Cardiovasc Interv 2001; 52: 88-94.Koul AK, Hollander G, Moskovits N, et al. Coronary artery dissection during pregnancy and the postpartum period: two cases and review of the literature. Catheter Cardiovasc Interv 2001; 52: 88-94.Naderi S, Cho LS. Cardiovascular disease in women: Prevention, symptoms, diagnosis, pathogenesis. Clevland Clinic J Med 2013; 80(9): 577-87.Naderi S, Cho LS. Cardiovascular disease in women: Prevention, symptoms, diagnosis, pathogenesis. Clevland Clinic J Med 2013; 80(9): 577-87.Bonnet J, Aumailley M, Thomas D, et al. Spontaneous coronary artery dissection: case report 2and evidence for a defect in collagen metabolism. Eur Heart J 1986; 7: 904-9.Bonnet J, Aumailley M, Thomas D, et al. Spontaneous coronary artery dissection: case report 2and evidence for a defect in collagen metabolism. Eur Heart J 1986; 7: 904-9.Cheung S, Mithani V, Watson RM. Healing of spontaneous coronary dissection in the context of glycoprotein IIB/IIIA inhibitor therapy: a case report. Catheter Cardiovasc Interv 2000; 51: 95-100.Cheung S, Mithani V, Watson RM. Healing of spontaneous coronary dissection in the context of glycoprotein IIB/IIIA inhibitor therapy: a case report. Catheter Cardiovasc Interv 2000; 51: 95-100.Ichiba N, Shimada K, Hirose M, et al. Images in cardiovascular medicine. Plaque rupture causing spontaneous coronary artery dissection in a patient with acute myocardial infarction. Circulation 2000; 101: 1754-5.Ichiba N, Shimada K, Hirose M, et al. Images in cardiovascular medicine. Plaque rupture causing spontaneous coronary artery dissection in a patient with acute myocardial infarction. Circulation 2000; 101: 1754-5.Brunetti ND, Pellegrino PL, Mavilio G, et al. Spontaneous coronary dissection complicating unstable coronary plaque in young women with acute coronary syndrome: case reports. Int J Cardiol 2007; 115: 105-7.Brunetti ND, Pellegrino PL, Mavilio G, et al. Spontaneous coronary dissection complicating unstable coronary plaque in young women with acute coronary syndrome: case reports. Int J Cardiol 2007; 115: 105-7.Adlam D, Cuculi F, Lim C, Banning A. Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 2010; 22(11): 549-53.Adlam D, Cuculi F, Lim C, Banning A. Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 2010; 22(11): 549-53.Auer J, Punzengruber C, Berent R, et al. Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound. Heart 2004; 90: 39.Auer J, Punzengruber C, Berent R, et al. Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound. Heart 2004; 90: 39.Giesler T, Baum U, Ropers D, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. AJR 2002; 179: 4: 911-6.Giesler T, Baum U, Ropers D, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. AJR 2002; 179: 4: 911-6.D’Othee BJ, Siebert U, Cury R, et al. A systematic review on diagnostic accuracy of CT-based detection of significant coronary artery disease. Eur J Radiol 2008; 65: 449-61.D’Othee BJ, Siebert U, Cury R, et al. A systematic review on diagnostic accuracy of CT-based detection of significant coronary artery disease. Eur J Radiol 2008; 65: 449-61.Nair A, Kuban BD, Tuzcu EM, et al. Coronary Plaque Classification With Intravascular Ultrasound Radiofrequency Data Analysis. Circulation 2002; 106.Nair A, Kuban BD, Tuzcu EM, et al. Coronary Plaque Classification With Intravascular Ultrasound Radiofrequency Data Analysis. Circulation 2002; 106.Jang IK, Bouma BE, Kang DH, et al. Visualization of coronary atherosclerotic plaques in patients using optical coherence tomography: comparison with intrav ascular ultrasound. JACC 2002; 39: 604-9.Jang IK, Bouma BE, Kang DH, et al. Visualization of coronary atherosclerotic plaques in patients using optical coherence tomography: comparison with intrav ascular ultrasound. JACC 2002; 39: 604-9.Poon K, Bell B, Raffel OC, et al. Spontaneous Coronary Artery Dissection: Utility of Intravascular Ultrasound and Optical Coherence Tomography During Percutaneous Coronary Intervention. Circ Cardiovasc Interv 2011;4: e5-7.Poon K, Bell B, Raffel OC, et al. Spontaneous Coronary Artery Dissection: Utility of Intravascular Ultrasound and Optical Coherence Tomography During Percutaneous Coronary Intervention. Circ Cardiovasc Interv 2011;4: e5-7.Shamloo BK, Chintala RS, Nasur A, et al. Spontaneous coronary artery dissection: aggressive vs. conservative therapy. J Invasive Cardiol 2010; 22(5): 222-8.Shamloo BK, Chintala RS, Nasur A, et al. Spontaneous coronary artery dissection: aggressive vs. conservative therapy. J Invasive Cardiol 2010; 22(5): 222-8.Motreff P, Souteyrand G, Dauphin C, et al. Management of spontaneous coronary artery dissection: review of the literature and discussion based on a series of 12 young women with acute coronary syndrome. Cardiology 2010; 115 (1): 10-8.Motreff P, Souteyrand G, Dauphin C, et al. Management of spontaneous coronary artery dissection: review of the literature and discussion based on a series of 12 young women with acute coronary syndrome. Cardiology 2010; 115 (1): 10-8.Celik SK, Sagcan A, Altintig A, et al. Primary spontaneous coronary artery dissections in atherosclerotic patients. Report of nine cases with review of the pertinent literature. Eur J Cardiothorac Surg 2001; 20: 573-6.Celik SK, Sagcan A, Altintig A, et al. Primary spontaneous coronary artery dissections in atherosclerotic patients. Report of nine cases with review of the pertinent literature. Eur J Cardiothorac Surg 2001; 20: 573-6.Kansara P, Graham S. Spontaneous coronary artery dissection: case series with extended follow up. J Invasive Cardiol 2011; 23: 76-80.Kansara P, Graham S. Spontaneous coronary artery dissection: case series with extended follow up. J Invasive Cardiol 2011; 23: 76-80.

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