Percutaneous coronary intervention in recurrent spontaneous coronary artery dissection: a case report.

ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is an infrequent but potentially life-threatening condition in patients with acute myocardial infarction. Conservative medical therapy is recommended in patients with SCAD. However, very little evidence exists in the management of recurrent SCAD when conservative medical therapy fails.

Case summary

A 48-year-old woman presented with non-ST-elevation myocardial infarction (NSTEMI) on a background of cigarette smoking. Her coronary angiogram showed the first diagonal artery (D1) and right marginal branch (RM) occlusion with angiographic appearance that is consistent with SCAD. She was medically managed. She represented 2 months later with another NSTEMI, and her coronary angiogram showed healing SCAD in the D1 and RM, bu

SUBMITTER: Phang C 

PROVIDER: S-EPMC6439372 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature