Spontaneous coronary artery dissection: An under-recognized cause of acute coronary syndromes

Hanan Al Naabi, Hatim Al Lawati*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Spontaneous coronary artery dissection (SCADad) is a rare condition that is often underdiagnosed given limitations of conventional cineangiography. In addition to the diagnostic challenge, the condition poses a major therapeutic dilemma given paucity of literature to guide management. We report the case of a 55-year-old woman, who presented with acute coronary syndrome. Coronary angiography at the time of the index hospitalization revealed type 2 SCADad. She was managed conservatively. Repeat coronary angiography three months later showed complete resolution of the previously noted dissection. Because of the high association between SCADad and fibromuscular dysplasia (FMDmd), a cross-sectional imaging was performed in this case, which ruled out underlying FMDmd. The patient has been followed longitudinally since her index event and has had no reported recurrences.

Original languageEnglish
Pages (from-to)344-348
Number of pages5
JournalOman Medical Journal
Volume32
Issue number4
DOIs
Publication statusPublished - Jul 1 2017

Keywords

  • Acute coronary syndrome
  • Coronary vessels, dissection
  • Fibromuscular dysplasia

ASJC Scopus subject areas

  • Medicine(all)

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