scholarly journals Preeclampsia-Associated Multivessel Spontaneous Coronary Artery Dissection

2019 ◽  
Vol 7 ◽  
pp. 232470961987462
Author(s):  
Rajeev Virender Seecheran ◽  
Jessica Kawall ◽  
Divya Ramadhin ◽  
Valmiki Krishna Seecheran ◽  
Sangeeta Anjali Persad ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Advanced Maternal Age ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Segment Elevation ◽  
Factors Associated ◽  
Segment Elevation Myocardial Infarction ◽  
Preeclamptic Patient ◽  
St Segment

Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.

scholarly journals Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Tatsuo Haraki ◽  
Ryota Uemura ◽  
Shin-ichiro Masuda ◽  
Takeshi Lee
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Male Patient ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Spontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD. The SCAD had occurred in the distal right coronary artery (RCA), the mid left anterior descending artery (LAD), and the distal LAD at the same time. His culprit lesion was in the distal RCA, but the SCAD had progressed more proximally within the RCA 12 days later with no clinical symptoms. We treated the mid LAD with implantation of a drug-eluting stent on admission and the SCAD had not progressed 12 days later. Moreover, the SCAD in the distal RCA and distal LAD healed spontaneously 12 days later. He had no recurrent attack, and all SCAD lesions of the RCA and LAD had completely healed 6 months later. Given that SCAD appears in various forms over the clinical course, a strategy of intervention needs careful consideration.

scholarly journals Spontaneous Coronary Artery Dissection with Cardiac Tamponade

2015 ◽  
Vol 42 (5) ◽  
pp. 479-482 ◽  
Author(s):  
Anne C.H. Goh ◽  
Robert J. Lundstrom
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Cardiac Tamponade ◽  
Successful Outcome ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Clinical presentation ranges from chest pain alone to ST-segment-elevation myocardial infarction, ventricular fibrillation, and sudden death. The treatment of patients with spontaneous coronary artery dissection is challenging because the disease pathophysiology is unclear, optimal treatment is unknown, and short- and long-term prognostic data are minimal. We report the case of a 70-year-old woman who presented with an acute ST-segment-elevation myocardial infarction secondary to a spontaneous dissection of the left anterior descending coronary artery. She was treated conservatively. Cardiac tamponade developed 16 hours after presentation. Repeat coronary angiography revealed extension of the dissection. Medical therapy was continued after the hemopericardium was aspirated. The patient remained asymptomatic 3 years after hospital discharge. To our knowledge, this is the first reported case of spontaneous coronary artery dissection in association with cardiac tamponade that was treated conservatively and had a successful outcome.

scholarly journals Spontaneous coronary artery dissection after COVID-19 infection presenting with ST segment elevation

2020 ◽  
Vol 41 (48) ◽  
pp. 4602-4602
Author(s):  
Stefano Cannata ◽  
Alexander Birkinshaw ◽  
Daniel Sado ◽  
Rafal Dworakowski ◽  
Nilesh Pareek
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Segment Elevation ◽  
St Segment

scholarly journals Spontaneous coronary artery dissection as a cause of ST-segment elevation myocardial infarction

2021 ◽  
Vol 29 ◽  
pp. 1-5
Author(s):  
Stéphany Bastos ◽  
Raquel Carbelin ◽  
José Francisco ◽  
Gustavo Matos ◽  
Evandro Matos Júnior ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Interventional Treatment ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Artery Disease

Spontaneous coronary artery dissection is an uncommon condition, and the patients’ clinical presentation is often underestimated due to few risk factors for atherosclerotic disease. Treatment must be individualized, with conservative therapy as the first option, respecting the criteria for referral for interventional treatment. We report a case of spontaneous coronary dissection, initially manifested as a non-ST segment elevation acute coronary syndrome, progressing to transmural infarction, in a young patient, with few risk factors for coronary artery disease, and give examples of difficulties related to the percutaneous approach.

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