2023
DOI: 10.1016/j.radcr.2022.10.001
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A 28-year-old male with spontaneous coronary artery dissection complicated by apical thrombus and acute ischemic stroke: An interesting case

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Cited by 3 publications
(6 citation statements)
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“…In the Mayo Clinic registry of 87 consecutive patients with SCAD, no cause was found in 45% of total cases, highlighting SCAD's unexplained etiology [9] . SCAD is associated primarily with pregnancy and the peripartum period and connective tissue disorders like cystic medial necrosis, Marfan's syndrome, Ehler Danlos, multiple pregnancies, fibromuscular dysplasia, systemic inflammation like lupus erythematous, and Crohn's disease [ 3 , 10 ].…”
Section: Discussionmentioning
confidence: 99%
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“…In the Mayo Clinic registry of 87 consecutive patients with SCAD, no cause was found in 45% of total cases, highlighting SCAD's unexplained etiology [9] . SCAD is associated primarily with pregnancy and the peripartum period and connective tissue disorders like cystic medial necrosis, Marfan's syndrome, Ehler Danlos, multiple pregnancies, fibromuscular dysplasia, systemic inflammation like lupus erythematous, and Crohn's disease [ 3 , 10 ].…”
Section: Discussionmentioning
confidence: 99%
“…Although the majority of SCAD patients have a favorable prognosis, there is still controversy about the type of management for SCAD patients, which may vary depending on the type and severity of the presentations [ 3 , 13 ]. It is generally recognized that conservatively managed SCAD frequently heals and that percutaneous coronary intervention for SCAD is associated with high rates of technical failure or unsatisfactory outcomes, due in part to false lumen extension caused by tracking of the hematoma during stent deployment [ 14 , 15 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Transthoracic echocardiography can also spot other stroke etiologies that could need intervention, such as atrial anomalies (like a patent foramen ovale or an atrial myxoma) or infected endocarditis. 6 , 18 , 19 The most frequent cause of cardio-embolic events is a thrombus in the left atrium (LA) or, more commonly, the LA appendage (LAA), which is frequently linked to atrial fibrillation. The risk of thromboembolism is comparable for paroxysmal and persistent AF.…”
Section: Discussionmentioning
confidence: 99%
“…Patients were divided into Khat user and non-Khat users.Data, including demographics, clinical presentations, and Coronary angiographic findings, lesion complexity, and prognosis were analyzed using the SYNTAX score and compared among the 2 groups. Lesion complexity and severity were divided into three groups according to the SYNTAX score were divided into tertiles as low (≤16), intermediate (16)(17)(18)(19)(20)(21)(22) and high (>22).…”
Section: Methodsmentioning
confidence: 99%