Recurrent Spontaneous Coronary Artery Dissection in 4 Vascular Territories

Spontaneous coronary artery dissection, a rare cause of acute coronary syndrome, is due to nonatherosclerotic coronary events and is probably underrecognized as a cause of myocardial infarction. The condition typically affects premenopausal women who are otherwise healthy. Among more than 1,200 repo...

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Bibliographic Details
Published in:Texas Heart Institute journal 2018-04, Vol.45 (2), p.106-109
Main Authors: Makki, Nader, Dalal, Poorvi, Capers, 4th, Quinn, Mazzaferri, Jr, Ernest, Attar, Talal
Format: Article
Language:English
Subjects:
Adult
Case Reports
Coronary Angiography
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - surgery
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Female
Humans
Percutaneous Coronary Intervention - methods
Recurrence
Stents
Vascular Diseases - congenital
Vascular Diseases - diagnosis
Vascular Diseases - surgery
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Summary:Spontaneous coronary artery dissection, a rare cause of acute coronary syndrome, is due to nonatherosclerotic coronary events and is probably underrecognized as a cause of myocardial infarction. The condition typically affects premenopausal women who are otherwise healthy. Among more than 1,200 reported cases, recurrent dissection has been described 63 times, and only 3 reports have documented multiple episodes of dissection involving different vascular territories. We present the case of a woman in her 30s who, over a 9-year period, presented 4 times with coronary dissection in different vascular territories. She was first treated conservatively, then with stents, and ultimately by means of coronary artery bypass grafting. In addition to this case, we discuss this rare condition and its management.
ISSN:0730-2347
1526-6702
DOI:10.14503/THIJ-17-6269