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Case Reports in Vascular Medicine
Volume 2012, Article ID 498465, 3 pages
Case Report

Idiopathic, Serial Coronary Vessels Dissection in a Young Woman with Psychological Stress: A Case Report and Review of the Literature

Interventional Cardiology Unit, Santa Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, Italy

Received 22 August 2012; Accepted 2 October 2012

Academic Editors: A. Iyisoy and C. A. Staton

Copyright © 2012 Alessio Arrivi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous coronary artery dissection (SCAD) is a very rare disease, associated with high mortality rate, whose etiology and pathogenesis are poorly understood. Its sporadic nature and the varied angiographic extent make firm recommendations regarding revascularization impossible. The case described is that of a young, otherwise healthy woman, without a known underlying condition which may lead to SCAD, but with a history of intense psychological stress. We managed the patient with a conservative approach based on watchful waiting, medical therapy, and plain old balloon angioplasty (POBA) with low inflation atmospheres.