Ponavljajuća spontana disekcija koronarnih arterija u bolesnice srednje životne dobi

SUMMARY Spontaneous coronary dissection is an infrequent but well-described cause of acute myocardial infarction. It is associated with women of reproductive age or patients with fibromuscular dysplasia. Treatment consists of controlling cardiovascular risk factors, vasodilators, and beta-blockers. We present a case of 48-year-old patient with myocardial infarction secondary to spontaneous dissection and recurrence due to disease extension at a later stage.SAŽETAK Spontana disekcija koronarnih arterija rijedak je, ali dobro poznat uzrok akutnog infarkta miokarda. Češća je u žena reproduktivne dobi i u bolesnika s fibromuskularnom displazijom. Liječenje se sastoji od kontrole čimbenika kardiovaskularnog rizika te primjene vazodilatatora i beta-blokatora. Predstavljamo slučaj 48-godišnje bolesnice s infarktom miokarda uzrokovanim spontanim disekcijom i ponovnom pojavom bolesti zbog njezina širenja u kasnijemu stadiju