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Multi-vessel spontaneous coronary artery dissection in a patient with aortic dissection: a case report.

ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that is often misdiagnosed.

Case summary

We describe a case of multi-vessel SCAD in a 73-year-old patient with no evidence of fibromuscular dysplasia that is presented with Type A aortic dissection after undergoing an ascending aorta and aortic arch replacement with stent placement in the abdominal aorta. The use of percutaneous coronary intervention with cutting balloons and drug-eluting stent implantation helped wean the patient off extracorporeal membrane oxygenation successfully.

Discussion

To our knowledge, this is the first reported case of multi-vessel SCAD presenting concomitantly with aortic dissection. More research is needed to help understand the pathophysiology of the two conditions as well as possible links between them.

SUBMITTER: Alyamani M

PROVIDER: S-EPMC9263159 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Multi-vessel spontaneous coronary artery dissection in a patient with aortic dissection: a case report.

Alyamani Motasem M Aziz Amir A Nagendran Jeevan J Welsh Robert C RC

European heart journal. Case reports 20220628 7

<h4>Background</h4>Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that is often misdiagnosed.<h4>Case summary</h4>We describe a case of multi-vessel SCAD in a 73-year-old patient with no evidence of fibromuscular dysplasia that is presented with Type A aortic dissection after undergoing an ascending aorta and aortic arch replacement with stent placement in the abdominal aorta. The use of percutaneous coronary intervention with cutting balloons and drug-e ...[more]

PMID: 35815314

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