Recurrent spontaneous coronary artery dissection with transient left ventricular systolic dysfunction

2007 ◽  
Vol 116 (2) ◽  
pp. e48-e50 ◽  
Author(s):  
Reza Ardehali ◽  
Todd J. Brinton ◽  
Andrew M. Wilson ◽  
Marc Gradman ◽  
Randall H. Vagelos ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Ventricular Systolic Dysfunction ◽  
Coronary Artery Dissection

scholarly journals Not Your Common Athletic Heart Problem: Using Coronary CTA to Visualize Spontaneous Coronary Artery Dissection

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Padma Shenoy ◽  
Taher Tayeb ◽  
Pedro Covas ◽  
Nardos Temesgen ◽  
Cynthia Tracy
Keyword(s):  
Coronary Artery ◽  
Young Patients ◽  
Reference Value ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Heart Catheterization ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Coronary Catheterization ◽  
Left Anterior Descending Artery

A 19-year-old healthy male collegiate athlete presented with typical anginal symptoms after running a 5K race. He had complained of similar symptoms off and on for the past month. On presentation, troponin was 0.12 ng/ml (reference value < 0.01 ng/ml), which peaked at 17.7 ng/ml and CK-MB was 28.71 IU/L (reference value < 25 IU/L). ECG showed diffuse biphasic T-waves. Coronary computed tomography angiogram (cCTA) demonstrated a 1.5 cm dissection in the left anterior descending artery and a 1.9 × 1.8  cm attenuation defect in the left ventricular apex consistent with thrombus. Subsequent coronary catheterization confirmed dissection of the left anterior descending artery. Spontaneous coronary artery dissection (SCAD) is a rare phenomenon. Diagnosis can be made through noninvasive measures but is usually done through left heart catheterization. In young patients who present with an NSTEMI, clinical suspicion for SCAD among other conditions should be raised. Additionally, recognizing that complications such as intracardiac thrombi can occur in SCAD is critical in ensuring appropriate therapy.

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