Alarcón-Sotelo A, Ortega-Chavarría MJ, Díaz-Greene E, Rodríguez-Weber F

Idioma: Español
Referencias bibliográficas: 36
Paginas: 127-135
Archivo PDF: 338.63 Kb.

RESUMEN

La disección coronaria espontánea, también llamada disección coronaria primaria, se trata de una afección subdiagnosticada, dadas las características variables de manifestación clínica, que incluyen dolor precordial, síndrome coronario agudo, arritmias ventriculares y muerte súbita. Afecta frecuentemente a mujeres entre 30 y 40 años de edad, y con frecuencia afecta a mujeres embarazadas o que cursan el puerperio, que además se caracterizan por no tener factores de riesgo cardiovascular. Este artículo comunica el caso de una paciente de 43 años de edad en la que se estableció el diagnóstico de disección coronaria espontánea y realizamos una revisión del tema.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Giacoppo D, Capodanno D, Dangas G, et al. Spontaneous coronary artery dissection. Int J Cardiol 2014;175(1):8-20.

2. Shahzad K, Cao L, Tul Q et al. Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: a case report and literature review. J Med Case Rep 2013;7:82.

3. Pabla JS, John L, McCrea WA. Spontaneous coronary artery dissection as a cause of sudden cardiac death in the peripartum period. BMJ Case Reports 2010; 10.1136/ bcr.05.2010.2994.

4. Magarkar V, Lathi P. A case of spontaneous coronary artery dissection in early pregnancy managed by PCI. Indian Heart J 2016; 68: S25–S27

5. Bustamante N, Rottino S, Medeot N, et al. Disección coronaria espontánea. Rev Fed Arg Cardiol 2004;33:331-340.

6. Rogers I, Rinaldi M, Humphrey C, et al. Postpartum dissection of the left main coronary artery. Clin Cardiol 2006;29:175-178.

7. Buppajarntham S, Junpaparp P, Shah M, et al. Spontaneous coronary artery dissection following a preeclampsia pregnancy. Int J Cardiol 2014;173:e3-e4.

8. Roth A, Elkayam U. Acute myocardial infarction associated with pregnancy. J Am Coll Cardiol 2008;52:171-180.

9. Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012;126:579-88.

10. Pradhan A, Safal S, Narain VS, Sethi R. Incidental spontaneous coronary dissection: An interventionist’s dilemma. Heart Views 2015;16:158-160.

11. Roth A, Elkayam U. Acute myocardial infarction associated with pregnancy. J Am Coll Cardiol 2008;52:171-180.

12. Higgins G, Borofsky J, Irish C et al. Spontaneous peripartum coronary artery dissection presentation and outcome. J Am Board Fam Med 2013;26:82-89.

13. Refaie M, Alsheri M, Gallo R. Spontaneous coronary artery dissection in puerperium. Asian Cardiovasc Thorac Ann 2015;0(0):1-3.

14. Appleby C, Barolet A, Ing D et al. Contemporary management of pregnancy-related coronary artery dissection: A single-centre experience and literature review. Exp Clin Cardiol 2009;14(1): e8-e16.

15. Koul AK, Hollander G, Moskovits N, Frankel R, et al. Coronary artery dissection during pregnancy and the postpartum period: two case reports and review. Catheter Cardiovasc Interv 2001;52:88-94.

16. Eslinder I, Yigit N, Ayhan A et al. Coronary artery dissection during pregnancy. Acta Obstet Gynecol Scand 2003;82:194-196

17. Shamloo BK, Chintala RS, Nasur A, et al. Spontaneous coronary artery dissection: aggressive vs. conservative therapy. J Invasive Cardiol 2010;22:222-228.

18. Kim YH, Kim SH, Lim SY, et al. Simultaneous and spontaneous multivessel coronary artery dissection presenting as congestive heart failure. Heart Vessels 2011;26:338-341.

19. Kansara P, Graham S. Spontaneous coronary artery dissection: case series with extended follow up. J Invasive Cardiol 2011;23:76-80.

20. Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv 2014;84:1115-1122.

21. Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. J Am Coll Cardiol 2012;59:1073-1079.

22. Imperiale TF, Petrulis AS. A meta-analysis of low-dose aspirin for the prevention of pregnancy-induced hypertensive disease. JAMA 1991;266:260-264.

23. Park SM, Koh KK, Kim JH, Yoon KH, Chung WJ, Kang WC. Myocardial infarction with huge mural thrombus due to spontaneous coronary artery dissection detected by 64- multidetector computed tomography. Int J Cardiol 2008;127:73-75.

24. 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;115:10-18.

25. Alfonso F, Paulo M, Lennie V, et al. Spontaneous coronary artery dissection: long-term follow-up of a large series of patients prospectively managed with a "conservative" therapeutic strategy. JACC Cardiovasc Interv 2012;5:1062-1070.

26. Turrentine MA, Braems G, Ramirez MM. Use of thrombolytics for the treatment of thromboembolic disease during pregnancy. Obstet Gynecol Surv 1995;50:534-541.

27. Antman EM Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction). J Am Coll Cardiol 2004;44:E1-E211.

28. Maeder M, Ammann P, Angehrn W et al. Idiopathic spontaneous coronary artery dissection: Incidence, diagnosis and treatment. Int J Cardiol 2005;101:363-369.

29. Koller PT, Cliffe CM, Ridley DJ. Immunosuppressive therapy for peripartum- type spontaneous coronary artery dissection: case report and review. Clin Cardiol 1998;21:40-46.

30. Porto I, Aurigemma C, Pennestrì F, Rebuzzi AG. Intravascular ultrasound-documented healing of spontaneous coronary artery dissection. Circ Cardiovasc Interv 2010;3:519-522.

31. Koller PT, Cliffe CM. Spontaneous coronary artery dissection. Catheter Cardiovasc Interv 2001, 53:577-579.

32. Sanchez-Recalde A, Moreno R, Jiménez-Valero S. Stenting of spontaneous intramural coronary haematoma: longterm consequences. Eur Heart J 2008;29:1593.

33. Adlam D, Cuculi F, Lim C, et al. Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 2010;22:549- 553.

34. Pulivarthi S, Lawal T, Li D, Gurram MK. Spontaneous coronary artery dissection and acute myocardial infarction after cesarean section in a postpartum woman with untreated dyslipidemia. Heart Views 2014;15:80-82.

35. Thistlethwaite PA, Tarazi RY, Giordano FJ et al. Surgical management of spontaneous left main coronary artery dissection. Ann Thorac Surg 1998;66:258-260.

36. Unal M, Kubilay A, Kosem M, et al. Surgical Management of Spontaneous Coronary Artery Dissection. Tex Heart Inst J 2008;35(4):402-405.