SPONTANEOUS CORONARY ARTERY DISSECTION IN THE LEFT MAIN CORONARY ARTERY: A CASE REPORT
Introduction: Spontaneous coronary artery dissection (SCAD) can be defined as epicardial coronary artery dissection, which is not associated with trauma, atherosclerosis, or iatrogenesis. It is known that its incidence increases in the presence of some risk factors.
Case Report: We identified a young to middle-aged female patient with no risk factors other than a history of drug use, presenting with spontaneous left main coronary artery dissection, and undergoing percutaneous coronary intervention treatment due to high risk characteristics in this case report.
Conclusion: This differential diagnosis should be considered in young women presenting with ECG results suspected of myocardial infarction, along with typical chest pain even though the mean age of SCAD admission has been reported to be 43-52 years. Revascularization strategies should be preferred instead of conservative treatment in patients with high risk features such as ongoing ischemia, recurrent chest pain, left main coronary artery dissection, ventricular arrhythmias, or hemodynamic instability even though adequate and successful results are often obtained with the option of conservative treatment in the presence of SCAD.
Keywords:
Spontaneous Coronary Artery Dissection, Left Main,
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- REFERENCES: 1. Garcia-Guimaraes M, Bastante T, Antuña P: Spontaneous coronary artery dissection: mechanisms, diagnosis and management. Eur Cardiol Rev. 2020, 15: 10.15420/ecr.2019.01
- 2. Saw J, Mancini GBJ, Humphries KH: Contemporary review on spontaneous coronary artery dissection . J Am Coll Cardiol. 2016, 68:297-312. 10.1016/j.jacc.2016.05.034
- 3. Lebrun S, Bond RM: Spontaneous coronary artery dissection (SCAD): the underdiagnosed cardiac condition that plagues women. Trends Cardiovasc Med. 2018, 28:340-345. 10.1016/j.tcm.2017.12.004
- 4. Saw J, Aymong E, Mancini GBJ, Sedlak T, Starovoytov A, Ricci D: Nonatherosclerotic coronary artery disease in young women. Can J Cardiol. 2014, 30:814-819. 10.1016/j.cjca.2014.01.011
- 5. Tweet MS, Hayes SN, Pitta SR, Simari RD: Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012, 126:579-588. 10.1161/CIRCULATIONAHA.112.105718
- 6. Saw J: Spontaneous coronary artery dissection association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv. 2014, 7:645-655. 10.1161/CIRCINTERVENTIONS.114.001760
- 7. Gilhofer TS, Saw J: Spontaneous coronary artery dissection . Curr Opin Cardiol. 2019, 34:594-602. 10.1097/HCO.0000000000000671
- 8. Tweet MS, Gulati R, Williamson EE, Vrtiska TJ, Hayes SN. Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging 2016;9:436–450.
- 9. Saw J, Aymong E, Mancini GBJ, Sedlak T, Starovoytov A, Ricci D: Nonatherosclerotic coronary artery disease in young women. Can J Cardiol. 2014, 30:814-819. 10.1016/j.cjca.2014.01.011
- 10. Tweet MS, Hayes SN, Pitta SR, Simari RD: Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012, 126:579-588. 10.1161/CIRCULATIONAHA.112.105718
- 11. Saw J: Spontaneous coronary artery dissection association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv. 2014, 7:645-655. 10.1161/CIRCINTERVENTIONS.114.001760
- 12. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, Ganesh SK, Gulati R, Lindsay ME, Mieres JH, Naderi S, Shah S, Thaler DE, Tweet MS, Wood MJ; American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Stroke Council. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation 2018;137:e523–e557.
- 13. Graham RM, McGrath-Cadell L, Muller DWM, Holloway CJ. The mystery and enigma of spontaneous coronary artery dissection. Heart Lung Circ 2018;27:401–405.
- 14. Eleid MF, Guddeti RR, Tweet MS, et al.: Coronary artery tortuosity in spontaneous coronary artery dissection: angiographic characteristics and clinical implications. Circ Cardiovasc Interv. 2014, 7:656-662. 10.1161/CIRCINTERVENTIONS.114.001676
- 15. Gilhofer TS, Saw J: Spontaneous coronary artery dissection . Curr Opin Cardiol. 2019, 34:594-602. 10.1097/HCO.0000000000000671
- 16. Yeo I, Feldman DN, Kim LK: Spontaneous coronary artery dissection: diagnosis and management . Curr Treat Options Cardiovasc Med. 2018, 20:27. 10.1007/s11936-018-0622-2
- 17. Lobo AS: Revascularization in patients with spontaneous coronary artery dissection and ST-segment elevation myocardial infarction. J Am Coll Cardiol. 2019, 74:1290-1300. 10.1016/j.jacc.2019.06.065
- Başlangıç: 2010
- Yayıncı: Alpay Azap
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