Multiple Spontaneous Coronary Artery Dissections: An Uncommon Cause of Acute Coronary Syndrome in a Syrian Refugee

Abstract Spontaneous coronary artery dissection is an uncommon non-atherosclerotic cause of acute coronary syndrome. It usually occurs in young women and is often associated with fibromuscular dysplasia, connective tissue diseases, and pregnancy or post-partum states. We present a case of a Syrian w...

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Bibliographic Details
Published in:Canadian journal of cardiology 2017-02, Vol.33 (2), p.292.e13-292.e15
Main Authors: Zhu, Tina, MD, DeJong, Peggy, MD, FRCPC, Johri, Amer M., MD, MSC, FRCPC, FASE
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Adult
Cardiovascular
Coronary Angiography
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnosis
Coronary Vessels - diagnostic imaging
Female
Humans
Refugees
Syria
Vascular Diseases - complications
Vascular Diseases - congenital
Vascular Diseases - diagnosis
Ventricular Dysfunction, Left - diagnosis
Ventricular Dysfunction, Left - etiology
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Summary:Abstract Spontaneous coronary artery dissection is an uncommon non-atherosclerotic cause of acute coronary syndrome. It usually occurs in young women and is often associated with fibromuscular dysplasia, connective tissue diseases, and pregnancy or post-partum states. We present a case of a Syrian woman with a history of grand multiparity and recent miscarriage presenting with non-ST elevation myocardial infarction and found to have multivessel spontaneous coronary artery dissection and severe left ventricular dysfunction.
ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2016.08.013