Spontaneous Coronary Artery Dissection in a Patient with Undiagnosed Ehlers-Danlos Syndrome

Spontaneous coronary artery dissection (SCAD) is a rare and deadly cause of acute myocardial infarction (MI). It remains greatly misdiagnosed and carries a high in-hospital mortality rate. Herein, we report a healthy 38-year-old female who presented to our institution for non-ST segment myocardial i...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2019-02, Vol.11 (2), p.e4065
Main Authors: Nesheiwat, Zeid, Mangi, Muhammad A, Kosinski, Daniel
Format: Article
Language:English
Subjects:
Cardiology
Case reports
Coronary vessels
Dissection
Family medical history
Females
Heart attacks
Heart rate
Internal Medicine
Intubation
Mortality
Outpatient care facilities
Pain
Patients
Veins & arteries
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Summary:Spontaneous coronary artery dissection (SCAD) is a rare and deadly cause of acute myocardial infarction (MI). It remains greatly misdiagnosed and carries a high in-hospital mortality rate. Herein, we report a healthy 38-year-old female who presented to our institution for non-ST segment myocardial infarction, in which subsequent coronary angiogram revealed a type 2 spontaneous coronary artery dissection of the obtuse marginal branch with diffuse single-vessel disease of the circumflex artery. After a thorough evaluation, the patient was found to have underlying Ehlers-Danlos Syndrome that was previously undiagnosed. The patient was medically treated with dual antiplatelet therapy and statin and discharged with strict follow-up. This case is a good example of a rare and life-threatening disease process that was observed in a patient who was found to have Ehlers-Danlos Syndrome that was previously unknown.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.4065