Spontaneous coronary dissection: A rare etiology of acute coronary syndrome.

Radiol Case Rep

Department of Cardiac Intensive Care, Faculty of Medicine and Pharmacy, Tours, France.

Published: April 2024

AI Article Synopsis

  • Spontaneous coronary artery dissection is a rare condition that can cause heart problems, mainly affecting young women who are usually healthy.
  • Doctors often use special imaging techniques to diagnose it, and treatment can vary depending on the doctor’s approach.
  • Although many people recover well, there is a chance it could happen again, leading to serious health concerns, like in the case of a 43-year-old patient who had problems after previous dissection episodes.

Article Abstract

Spontaneous coronary artery dissection is a rare etiology of acute coronary syndrome and falls into the category of myocardial infarction with no obstructive coronary arteries. It occurs mainly in young women with no cardiovascular risk factors. Diagnosis is often made by coronary angiography and sometimes by endocoronary imaging. the association of coronary dissection and ACS is rare, especially in men. The management is poorly codified and depends mainly on the habits of the practitioner, and may be medical, percutaneous or surgical. the outcome is often favorable, but sometimes there is a risk of recurrence with a guarded prognosis. In this context, we report the case of a 43-year-old patient with antecedent spontaneous coronary dissection, admitted to our unit for the management of acute coronary syndrome following recurrent coronary dissection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10828590PMC
http://dx.doi.org/10.1016/j.radcr.2023.12.048DOI Listing

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