A CASE REPORT OF SPONTANEOUS CORONARY ARTERY DISSECTION

A CASE REPORT OF SPONTANEOUS CORONARY ARTERY DISSECTION

Aims: Spontaneous coronary artery dissection is a random rupture of the coronary artery wall, which may lead to ischemia of the heart tissue. 30% of the cases are male patients. The aim of this article is to report a patient with spontaneous coronary artery dissection, raise awareness and extend the literature. Case Report: A 43-year-old male patient was presented to Trakya University Hospital with a complaint of persistent chest pain. The patient underwent coronary angiography, revealing spontaneous coronary artery dissection in the left anterior descending artery and circumflex artery. Conclusion: In this case report, we demonstrated the diagnosis of spontaneous coronary artery dissection with coronary angiography. Our patient had the most common dissection, left anterior descending artery, right coronary artery and left main coronary artery. Only medical therapy could be started for the patient due to his voluntary discharge.

___

  • 1. Tweet MS, Hayes SH, Pitta SR et al. Clinical feature, management and prognosis of spontaneous coronary artery dissection. Circulation 2012;126:579-88.
  • 2. Adlam D, Cuculi F, Lim C et al. Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 2010;22:549-53.
  • 3. Jorgensen MB, Aharonian V, Mansukhani P et al. Spontaneous coronary dissection: a cluster of cases with this rare finding. Am Heart J 1994;127:1382-7.
  • 4. Mokhberi V, Bagheri B, Navidi S et al. Spontaneo us coronary artery dissection: a case report. J Teh Univ Heart Ctr 2015;10(3):159-62.
  • 5. Saw J, Mancini J, Humphries HK. Contemporary re view on spontaneous coronary artery dissection. JACC 2016;68(3):297-312. 6. Pretty HC. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. BMJ 1931;1:667.
  • 7. Tweet MS, Gulati R, Aase LA et al. Spontaneous coronary artery dissection: a disease-specific, soci al networking community-initiated study. Mayo Clin Proc 2011;86:845-50.
  • 8. Sabatine MS, Jaffer FA, Staats PN et al. Case records of the massachusetts general hospital. Case 28-2010. A 32-year-old woman, 3 weeks post partum, with subs ternal chest pain. N Engl J Med 2010;363:1164-73.
  • 9. Yip A, Saw J. Spontaneous coronary artery dissec tion-a review. Cardiovasc Diagn Ther 2015;5(1):37-48.
  • 10. Al Emam AR, Almomani A, Gilani SA et al. Sponta neous coronary artery dissection: one disease, variable presentations, and different management approaches. International Journal of Angiography 2016;25(3):139- 47.
  • 11. Saw J. Coronary angiogram classification of sponta neous coronary artery dissection. Catheter Cardiovasc Interv 2014;84(7):1115-22.
  • 12. Wain-Hobson J, Roule V, Dahdouh Z et al. Spon taneous coronary artery dissection: one entity with several therapeutic options. Cardiovasc Revasc Med 2012;13(3):203.
  • 13. DeMaio SJ Jr, Kinsella SH, Silverman ME. Clinical course and long-term prognosis of spontaneous coro nary artery dissection. Am J Cardiol 1989;64:471-4.
  • 14. Thompson EA, Ferraris S, Gress T et al. Gender differences and predictors of mortality in spontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol 2005;17:59-61.
  • 15. Zampieri P, Aggio S, Roncon L et al. Follow up after spontaneous coronary artery dissection: a report of five cases. Heart 1996;75:206-9.