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Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively.
Case Rep Cardiol
December 2024
Department of Cardiovascular Medicine, Boston Medical Center, Boston, Massachusetts, USA.
The management of spontaneous coronary artery dissection (SCAD) presents challenges and uncertainties. We present a case of a 54-year-old woman who developed SCAD in the three primary coronary artery territories including the distal left anterior descending artery (LAD), a diagonal branch, the first and second obtuse marginals (OMs), and the midright coronary artery (RCA). She was managed conservatively without procedural intervention, and follow-up coronary angiography demonstrated complete recovery.
View Article and Find Full Text PDFPercutaneous coil embolization of a post-traumatic left anterior descending coronary artery pseudoaneurysm: a case report.
Eur Heart J Case Rep
December 2024
Division of Cardiovascular Medicine, University of Miami, Leonard M. Miller School of Medicine, 1400 NW 12th Ave, Miami, FL 33136, USA.
Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.
Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.
Interventional treatment of non-spontaneously healed spontaneous coronary artery dissection: a case report.
BMC Cardiovasc Disord
December 2024
Tianjin Chest Hospital, Tianjin, China.
Background: Spontaneous coronary artery dissection (SCAD) is a significant cause of non-atherosclerotic acute coronary syndrome, myocardial infarction, and sudden cardiac death. Women account for 87-95% of SCAD patients, with the average age of onset ranging from 44 to 53 years. Approximately 95% of cases reported to resolve spontaneously.
View Article and Find Full Text PDFSpontaneous Coronary Artery Dissection in a Patient With a Single Coronary Artery.
Cureus
October 2024
Internal Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.
Spontaneous coronary artery dissection (SCAD) is an uncommon non-atherosclerotic etiology of acute coronary syndrome (ACS) characterized by the formation of a false lumen inside the arterial wall, resulting in sudden occlusion of blood flow without any trauma or intervention. The pathogenesis of SCAD is not completely understood, and the association between coronary artery anomalies and SCAD remains unclear. This case study reports a unique occurrence of non-ST-elevation myocardial infarction (NSTEMI) in a 43-year-old female patient.
View Article and Find Full Text PDFSpontaneous coronary artery dissection 'storm' in post-partum: a case report.
Eur Heart J Case Rep
November 2024
Department of Cardiology, CHU Clermont-Ferrand, CNRS, Université Clermont Auvergne, 58 rue Montalembert, 63000 Clermont-Ferrand, France.
Background: Spontaneous coronary artery dissection (SCAD) remains a rare form of acute coronary syndrome (ACS) in young women. It is not always easy to diagnose and its management can be complex, particularly in the case of severe forms.
Case Summary: A 29-year-old Mahorese woman presented with non-ST-elevation acute coronary syndrome 72 h after vaginal delivery of an uncomplicated twin pregnancy.
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