Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia

A male patient presented with cardiac arrest attributed to anterior ST-segment elevation myocardial infarction from type 1 spontaneous coronary artery dissection. Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medi...

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Bibliographic Details
Published in:Texas Heart Institute journal 2024-05, Vol.51 (1), p.1-5
Main Authors: Schneider, Artur, Gharacholou, S Michael
Format: Article
Language:English
Subjects:
acute coronary syndrome
Case Reports
Computed Tomography Angiography
Coronary Angiography
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
coronary vessels
Coronary Vessels - diagnostic imaging
dissection, blood vessel
Electrocardiography
fibromuscular dysplasia
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnosis
Humans
Male
Middle Aged
st elevation myocardial infarction
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - etiology
Vascular Diseases - congenital
Vascular Diseases - diagnosis
Vascular Diseases - etiology
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Summary:A male patient presented with cardiac arrest attributed to anterior ST-segment elevation myocardial infarction from type 1 spontaneous coronary artery dissection. Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medical therapy and referred to cardiac rehabilitation, showing substantial improvements in clinical status. With greater awareness and advancements in imaging, spontaneous coronary artery dissection has been more frequently recognized, and although as many as 81% to 92% of all cases occur in female patients, it can be seen among men, as well. Adjunctive imaging for arteriopathies may help establish the diagnosis for equivocal causes of acute coronary syndrome in women and men.
ISSN:0730-2347
1526-6702
1526-6702
DOI:10.14503/THIJ-23-8358