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Left Main Spontaneous Coronary Artery Dissection: Clinical Features, Management, and Outcomes

A pooled analysis of case reports demonstrated that patients with spontaneous coronary artery dissection (SCAD) involving the left main (LM) coronary artery had a high mortality rate, and that early revascularization with PCI or CABG was associated with a lower risk of early adverse outcomes compared with conservative management, Dr. Michele Morosato and colleagues, Vita-Salute San Raffaele University, Italy, reported in the April 28 issue of JACC: Cardiovascular Interventions.

The researchers searched MEDLINE and Embase for case reports published between 1990 and 2023 using t...

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