Özet:

Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndrome. SCAD can cause stable angina, unstable angina, acute myocardial infarction, cardiogenic shock and water from heart death. Predisposing factors include atherosclerosis, the peripartum period, structural and inflammatory conditions affecting the arterial wall. The diagnosis is usually made by coronary angiography. The clinical presentation is similar to the atherosclerotic coronary artery disease. Immediate diagnosis and treatment of patients improves survival. Therapeutic options include medical therapy, percutaneous coronary intervention and surgery. The four cases were presented and discussed with review of the relevant literature.

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