scholarly journals Spontaneous Coronary Artery Dissection in the Third Trimester -- implications for investigation and delivery.

2021 ◽  
Author(s):  
Tom Paxton-Hall ◽  
Pranali Desai ◽  
Nicholas Seton ◽  
Chris Arthur
Keyword(s):  
Coronary Artery ◽  
Significant Risk ◽  
Rare Condition ◽  
Artery Dissection ◽  
Unborn Child ◽  
Spontaneous Coronary Artery Dissection ◽  
Third Trimester ◽  
Coronary Artery Dissection ◽  
Minimal Data ◽  
Clinical Considerations

Spontaneous coronary artery dissection (SCAD) is a rare condition which occurs predominantly in the postpartum period in young women. A SCAD whilst pregnant is very rare and poses significant risk to the mother and unborn child, and with minimal data on SCAD antenatally, this case highlights antepartum clinical considerations.

scholarly journals Recurrent Spontaneous Coronary Artery Dissection in 4 Vascular Territories

2018 ◽  
Vol 45 (2) ◽  
pp. 106-109
Author(s):  
Nader Makki ◽  
Poorvi Dalal ◽  
Quinn Capers ◽  
Ernest Mazzaferri ◽  
Talal Attar
Keyword(s):  
Coronary Artery ◽  
Artery Bypass ◽  
Premenopausal Women ◽  
Rare Condition ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Coronary Syndrome ◽  
Coronary Events ◽  
Multiple Episodes

Spontaneous coronary artery dissection, a rare cause of acute coronary syndrome, is due to nonatherosclerotic coronary events and is probably underrecognized as a cause of myocardial infarction. The condition typically affects premenopausal women who are otherwise healthy. Among more than 1,200 reported cases, recurrent dissection has been described 63 times, and only 3 reports have documented multiple episodes of dissection involving different vascular territories. We present the case of a woman in her 30s who, over a 9-year period, presented 4 times with coronary dissection in different vascular territories. She was first treated conservatively, then with stents, and ultimately by means of coronary artery bypass grafting. In addition to this case, we discuss this rare condition and its management.

scholarly journals A tale of two SCADs: Spontaneous coronary artery dissection series

2021 ◽  
Vol 9 (37) ◽  
pp. 70-73
Author(s):  
Sanjana Rao ◽  
Nitish Mittal ◽  
Mohammad M Ansari
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Intramural Hematoma ◽  
Rare Condition ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Shortness Of Breath ◽  
Coronary Artery Dissection ◽  
Coronary Artery Angiography ◽  
Associated Symptoms

Spontaneous coronary artery dissection (SCAD), a relatively rare condition, occurs when a tear is present in the coronary artery walls, slowing the flow of blood due to potential clotting. Most patients show symptoms of chest pain or shortness of breath; however, SCAD is seen mostly in relatively young and healthy women with minimal past medical history. Within this report, we present two female SCAD patients and the etiology of a SCAD case, including a complicated diagnosis and treatment. We describe a 33-year-old woman and a 40-year-old woman both presenting to the emergency department with chest pain and shortness of breath. Electrocardiogram was done and coronary artery angiography was performed on both patients, demonstrating a SCAD. Both patients were treated with aspirin, bet-blockers, and statin to relieve associated symptoms and accordingly discharged.   Key words: Spontaneous coronary artery dissection (SCAD), Female, intramural hematoma

scholarly journals Spontaneous Coronary Artery Dissection of LM and LM- LAD artery in Peripartum or Postpartum Women with Acute Myocardial Infarction

2015 ◽  
Vol 7 (2) ◽  
pp. 153-158
Author(s):  
AHM Waliul Islam ◽  
Shams Munwar ◽  
Azfar H Bhuiyan ◽  
Shahab Uddin Talukder ◽  
AQM Reza ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Occlusion ◽  
Rare Condition ◽  
Artery Dissection ◽  
Single Coronary Artery ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Exact Etiology

Spontaneous coronary artery dissection (SCAD) is a very rare condition which may result in sudden coronary occlusion, acute myocardial infarction and sudden cardiac death. It usually occurs in young women during pregnancy or postpartum period and in most cases it involves a single coronary artery. The exact etiology is unknown. The prognosis of SCAD is uncertain and optimal treatment is unknown. Early diagnosis and treatment are key for survival, and when identified early, mortality rate is reduced. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22265 Cardiovasc. j. 2015; 7(2): 153-158

scholarly journals Heavy Lifting Causing Spontaneous Coronary Artery Dissection with Anterior Myocardial Infarction in a 54-Year-Old Woman

2016 ◽  
Vol 43 (2) ◽  
pp. 189-191 ◽  
Author(s):  
Kyriakos Yiangou ◽  
Kyriacos Papadopoulos ◽  
Chara Azina
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Medical Literature ◽  
Rare Condition ◽  
Strenuous Exercise ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Anterior Myocardial Infarction ◽  
Drug Eluting

Spontaneous coronary artery dissection in association with strenuous exercise and weightlifting is rather sparsely described in the medical literature. Diagnosis and treatment of this rare condition is a challenge, but prompt recognition and appropriate early choice of angioplasty or surgery can lead to a good outcome. We report the case of a postmenopausal 54-year-old woman who presented with anterior myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery after she had lifted a heavy weight while gardening. The patient was treated successfully by means of angioplasty and the implantation of 3 drug-eluting stents. In addition to presenting the patient's case, we review the topical medical literature.

scholarly journals Three broken vessels in a peripartum patient: a rare case report of spontaneous triple vessel coronary artery dissection

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Hassan Lak ◽  
Karim Abdul Rehman ◽  
Wael A Jaber ◽  
Leslie Cho
Keyword(s):  
Coronary Artery ◽  
Troponin I ◽  
Significant Risk ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Coronary Syndrome

Abstract Background Spontaneous coronary artery dissection (SCAD) is a frequently underdiagnosed entity that carries a significant risk of morbidity and mortality. Spontaneous coronary artery dissection is increasingly recognized as an important cause of acute coronary syndrome (ACS) and, the majority of SCAD patients are young healthy women. Case summary A 23-year-old female G5P4 presented to the emergency room for severe sub-sternal chest pain, associated with shortness of breath. Past medical history was significant for pre-eclampsia. Initial electrocardiogram was remarkable for ST depressions in V5–V6 with inverted T waves to V1–V2. Troponin I was elevated to 1.13 ng/mL. Two-dimensional echo showed reduced left ventricular function with an ejection fraction of 40%. Cardiac catheterization showed triple vessel dissection involving the left main trunk extending into mid-left anterior descending and dissection extending from ostium of left circumflex artery into large first obtuse marginal branch. She was started on aspirin and heparin. After 48 h she was loaded with clopidogrel. Computed tomography angiography of head, neck, abdomen, and pelvis showed findings compatible with fibromuscular dysplasia. She was haemodynamically stable and symptom free and did not want surgery. She was recommended to continue dual antiplatelet therapy for 12 months and subsequently aspirin and beta blocker only lifelong. Discussion Spontaneous coronary artery dissection is a rare condition which is underdiagnosed. A thorough history and high degree of suspicion is required to diagnose in a timely manner and it should be high on differential in a postpartum female presenting with signs and symptoms of ACS.

scholarly journals Bioresorbable Scaffolds in Spontaneous Coronary Artery Dissection: Long-Term Follow-Up in 4 Patients

2017 ◽  
Vol 44 (6) ◽  
pp. 405-410 ◽  
Author(s):  
Santiago Jesús Camacho Freire ◽  
Antonio Enrique Gómez Menchero ◽  
Jessica Roa Garrido ◽  
Javier León Jiménez ◽  
Rosa Cardenal Piris ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Rare Condition ◽  
Long Term Results ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Young Females ◽  
Coronary Syndrome ◽  
Long Term Follow Up

Spontaneous coronary artery dissection is a rare condition, and diagnosis and treatment are challenging among patients who present with acute coronary syndrome. Typically, the condition affects young females who have no underlying atherosclerotic disease. To date, few cases of bioresorbable scaffold implantation for the treatment of spontaneous coronary artery dissection have been reported. Therefore, we describe the cases of 4 patients whom we treated with scaffolds. We evaluated the long-term results by using intravascular ultrasound and optical coherence tomographic scanning.

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