scholarly journals Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound

Heart ◽  
2004 ◽  
Vol 90 (7) ◽  
pp. e39-e39 ◽  
Author(s):  
J Auer
Keyword(s):  
Coronary Artery ◽  
Intravascular Ultrasound ◽  
Main Stem ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Left Main Stem

scholarly journals Left main stem coronary artery dissection.

Heart ◽  
1980 ◽  
Vol 43 (6) ◽  
pp. 705-708 ◽  
Author(s):  
P J Molloy ◽  
M B Ablett ◽  
K R Anderson
Keyword(s):  
Coronary Artery ◽  
Main Stem ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Left Main Stem

scholarly journals Postpartum multi-vessel spontaneous coronary artery dissection in the setting of cocaine and amphetamine use: a case report

2020 ◽  
Author(s):  
Laurna McGovern ◽  
J J Coughlan ◽  
Ross Murphy ◽  
Sadat Edroos
Keyword(s):  
Coronary Artery ◽  
Drug Use ◽  
Coronary Angiography ◽  
Illicit Drug ◽  
Main Stem ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Amphetamine Use

Abstract Background  Spontaneous coronary artery dissection (SCAD) is a recognized cause of acute coronary syndrome (ACS). Pregnancy, the postpartum period, and illicit drug use have all been reported as potential triggers. Case summary  We describe the case of a 41-year-old patient who presented to the emergency department with chest pain in the setting of recent cocaine and amphetamine use. The patient was 4 months postpartum following an uncomplicated pregnancy. Past medical history was non-contributory, with no known risk factors for ischaemic heart disease. Electrocardiogram was normal but high-sensitivity troponin T was significantly elevated. Coronary angiography revealed multi-vessel SCAD. This was managed conservatively as the patient remained clinically stable and pain free without high-risk anatomy (left main stem or proximal two-vessel coronary artery dissection). Discussion  Spontaneous coronary artery dissection must be considered in a postpartum patient presenting with ACS, particularly in the context of environmental stressors such as illicit drug use. Coronary angiography is key to determine diagnosis and guide management. Conservative therapy is favoured, except for patients with ongoing ischaemia, haemodynamic instability, and left main stem involvement. In this case, we suspect SCAD occurred due to the haemodynamic effects of cocaine and amphetamines in the context of structural arterial changes of the postpartum state.

scholarly journals The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection

2008 ◽  
Vol 6 (1) ◽  
Author(s):  
Jayanth R Arnold ◽  
Nick EJ West ◽  
William J van Gaal ◽  
Theodoros D Karamitsos ◽  
Adrian P Banning
Keyword(s):  
Coronary Artery ◽  
Intravascular Ultrasound ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection
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