Multivessel spontaneous coronary artery dissection involving the left main coronary artery: a case report.

ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is an infrequent and often misdiagnosis of a non-atherosclerotic cause of acute coronary syndrome (ACS). It is an important cause of ACS in young women, responsible for up to 25% of all cases in women <50 years of age without cardiovascular risk factors. Clinical presentation ranges from ST-segment-elevation myocardial infarction (MI) to ventricular fibrillation and sudden death. The treatment of patients with SCAD is a challenge and the ideal management strategy has yet to be determined.

Case summary

A 42-year-old woman without family history of cardiac disease and neither traditional atherosclerotic risk factors presented to our centre with an anterior acute ST-segment-elevation MI secondary to multiple spontaneous d

SUBMITTER: Cepas-Guillen PL 

PROVIDER: S-EPMC6439423 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature