scholarly journals Double Trouble - Spontaneous Coronary Artery Dissection of the Left Anterior Descending and Posterior Descending Arteries in a Right Dominant Circuit: A Case Report

2021 ◽  
Vol 12 (12) ◽  
pp. 491-494
Author(s):  
Anton Mararenko ◽  
Greg Minassian ◽  
Anshu Kataria ◽  
Firas Ajam ◽  
Matthew S. Schoenfeld
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection

scholarly journals Spontaneous coronary artery dissection in a patient with hereditary polycystic kidney disease and a recent liver transplant: a case report

2019 ◽  
Vol 3 (4) ◽  
pp. 1-5 ◽  
Author(s):  
Ezther Verlaeckt ◽  
Laurens Van de Bruaene ◽  
Mathieu Coeman ◽  
Sofie Gevaert
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Kidney Disease ◽  
Liver Transplant ◽  
Polycystic Kidney Disease ◽  
Artery Dissection ◽  
High Dose ◽  
Spontaneous Coronary Artery Dissection ◽  
Polycystic Kidney ◽  
Coronary Artery Dissection

Abstract Background Spontaneous coronary artery dissection (SCAD) is an underestimated cause of acute coronary syndromes. A predisposing arteriopathy is often present and a stressor can sometimes be identified. Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disorder; its associated arteriopathy has been described as a predisposing condition for SCAD. Case summary A 44-year-old woman with ADPKD presented in the emergency room with recent onset thoracic pain radiating to the left arm at rest. She had undergone a recent liver transplant, for which she had received high-dose corticosteroids during 1 month. She was still taking tacrolimus and mycophenolate mofetil. She had no traditional risk factors but had experienced stress postoperatively. She was known with moderate chronic kidney disease. The initial electrocardiogram (ECG) was normal but high-sensitive troponin T was significantly elevated. Coronary angiography demonstrated diffuse narrowing of the distal left anterior descending artery with preserved flow, compatible with a SCAD Type 2 that was treated conservatively. However, under dual antiplatelet therapy (DAPT) with clopidogrel, the coronary dissection was progressive with new ischaemic ECG changes, further rise of troponins and development of apicoseptal hypokinesia. Because of the small vessel diameter and the preserved distal flow, conservative treatment was maintained. Clopidogrel was interrupted and the patient remained stable. Discussion As SCAD remains an underestimated cause of myocardial infarction, clinicians should be aware of the possibility of SCAD in ADPKD patients with chest pain. This case report illustrates that the decision DAPT vs. aspirin should be individualized in these patients.

scholarly journals Spontaneous Coronary Artery Dissection – A Case Report

2018 ◽  
Vol 12 (2) ◽  
pp. 105-107
Author(s):  
Samsun Nahar ◽  
Fatema Begum ◽  
Momenuzzaman ◽  
KN Khan
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Chest Pain ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Elevation ◽  
The Right ◽  
Spontaneous Dissection

Spontaneous coronary artery dissection is a rather rare cause of myocardial infarction, chest pain, and sudden death.There are currently no known direct causes of this condition.Most of the reported dissections have occurred in the left anterior descending coronary artery.Herein, we report the case of a 58-year-old woman who presented at our institution with an acute ST-elevation myocardial infarction secondary to a spontaneous dissection of the right coronary artery. Primary PCIresolved the occlusion of the artery, and the patient was discharged from the hospital on medical therapy.University Heart Journal Vol. 12, No. 2, July 2016; 105-107

scholarly journals An Unusual Presentation of Postpartum Spontaneous Coronary Artery Dissection

2019 ◽  
Vol 3 (3) ◽  
pp. 228-232
Author(s):  
Jonathan Alterie ◽  
Francis Villanueva ◽  
Mohamed Arekat ◽  
April Brill
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Coronary Artery ◽  
Cardiac Biomarkers ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Chest Discomfort ◽  
Coronary Artery Dissection ◽  
Life Threatening ◽  
Multiparous Female

The postpartum population is one with a unique physiologic profile that predisposes these patients to rare and often life-threatening conditions. Herein, we discuss a case of a 37-year-old, multiparous female who presented to the emergency department with vague chest discomfort 14 days after delivering her sixth child via vaginal delivery. The patient was found to have elevated cardiac biomarkers and was ultimately diagnosed with pregnancy-related spontaneous coronary artery dissection (P-SCAD). This case report discusses the evaluation, pathophysiology, workup, and management of P-SCAD.

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