Spontaneous multivessel coronary artery dissection with anomalous coronary artery

Mahadevappa, Nagesh C.; Singh, Bhupinder; Bhairappa, Shivakumar; Nanjappa, Manjunath C

doi:10.1136/bcr-2012-007893

Cited by 3 publications

(4 citation statements)

References 9 publications

(9 reference statements)

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“…The most common coronary artery to dissect is the left anterior descending artery [ 1 , 2 , 8 ] . The LAD is affected in 75%, RCA in 20%, LCx in 4% and the LMCA in less than 1% of cases [ 4 ] . This case represented a rare occurrence of SCAD with multivessel involvement in which the LAD was spared.…”

Section: Discussionmentioning

confidence: 99%

Multivessel spontaneous coronary artery dissection in the setting of anomalous left coronary arteries

Yang,

Rezkalla,

Singh

2023

European Journal of Case Reports in Internal Medicine

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Spontaneous coronary artery dissection (SCAD) is an epicardial coronary artery dissection not associated with atherosclerosis or trauma, and is not iatrogenic. The pathogenesis of SCAD is not fully understood, and the association of coronary artery anomalies and SCAD is not known. We present a case of a 64-year-old woman presenting with non-ST-elevation myocardial infarction (NSTEMI) due to have multivessel SCAD in the setting of anomalous origin of the coronary arteries with all three coronary arteries – right coronary artery (RCA), left anterior descending artery (LAD), and left circumflex artery (LCx) originating from the right sinus of Valsalva.

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Section: Discussionmentioning

confidence: 99%

Multivessel spontaneous coronary artery dissection in the setting of anomalous left coronary arteries

Yang,

Rezkalla,

Singh

2023

European Journal of Case Reports in Internal Medicine

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“…The diagnosis of SCAD revolves around identifying characteristics of dissection either on conventional or CT coronary angiography [1,8]. Intravascular ultrasound (IVUS) can also be used to clarify the type of SCAD; however, it was avoided in this case due to fear of propagating the dissection, and clear coronary angiogram findings.…”

Section: Discussionmentioning

confidence: 99%

“…Intravascular ultrasound (IVUS) can also be used to clarify the type of SCAD; however, it was avoided in this case due to fear of propagating the dissection, and clear coronary angiogram findings. While the diagnosis is straightforward, the treatment options remain ambiguous [8]. Because this presents as an ACS, initial treatment involves immediate therapy for myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Coronary Artery Dissection of an Anomalous Right Coronary Artery in a Young Male

Rabbani¹,

Mansoor²,

Ranavaya³

et al. 2021

Cureus

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Spontaneous coronary artery dissection (SCAD) is a tear in the coronary artery layers that presents clinically as an acute coronary syndrome (ACS), ventricular arrhythmias, or sudden cardiac death (SCD). It is uncommon for young healthy males with no comorbid conditions to have SCAD. We report an interesting case of SCAD in an anomalous right coronary artery (RCA) in a young 33-year-old male. The patient presented with episodes of midsternal chest pain and had elevated troponins on laboratory workup. A left heart catheterization revealed anomalous RCA, originating from the left aortic sinus. The left heart catheterization also demonstrated a SCAD of the anomalous RCA. Cardiothoracic surgery was consulted, and the patient had placement of saphenous vein graft to the proximal RCA. While this patient's presentation of ACS in the setting of SCAD is relatively common, it was atypical due to gender and lack of precipitating stressors. One of the risk factors this patient did have was the anomalous RCA arising from the left aortic sinus. There is scarce literature involving guidance for therapeutic intervention for RCA ostial lesion, let alone an anomalous one. Although coronary artery bypass grafting (CABG) remains the most clinically sound decision, in this case, further development of guidelines for RCA lesions would aid in decision-making.

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“…A thrombolytic therapy should be avoided as it can increase extent of disease 10. To date, there is no definite treatment guideline in SCAD.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous coronary artery dissection: a rare cause of acute coronary syndrome

et al. 2014

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Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction, which should always be included in differential diagnoses of acute coronary syndrome among young patients without known atherosclerotic risk. Although, it is commonly observed in young women during postpartum period, there were cases reported in connective tissue disorders, eosinophilic arteritis, contraception use, cocaine abuse and repetitive chest trauma. We report a case of SCAD, presenting with acute ST-elevation myocardial infarction, which was successfully treated conservatively.

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Spontaneous multivessel coronary artery dissection with anomalous coronary artery

Cited by 3 publications

References 9 publications

Multivessel spontaneous coronary artery dissection in the setting of anomalous left coronary arteries

Multivessel spontaneous coronary artery dissection in the setting of anomalous left coronary arteries

Spontaneous Coronary Artery Dissection of an Anomalous Right Coronary Artery in a Young Male

Spontaneous coronary artery dissection: a rare cause of acute coronary syndrome

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