Spontaneous asymptomatic coronary artery dissection in a young man

Shankarappa, Ravindranath Khandenahally; Panneerselvam, Arunkumar; Dwarakaprasad, Ramesh; Karur, Satish; Krishnanaik, Geetha Bachahally; Nanjappa, Manjunath Cholenahally

doi:10.1016/j.jjcc.2009.03.007

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…3 Asymptomatic presentation of SCAD is very rare and our search of the literature found only one case report of SCAD in asymptomatic adult men. 4 The present manuscript reported a SCAD in a very young, 18-year-old patient, suggesting that SCAD should be considered in any age group with unexplained myocardial infarction.…”

Section: Discussionmentioning

confidence: 60%

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Spontaneous coronary artery dissection causing myocardial infarction in an 18-year-old man: A case report

Herry

Tonang

Herlambang

et al. 2013

AMJ

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Spontaneous coronary artery dissection (SCAD), an uncommon cause of myocardial infarction, typically affects a younger, otherwise healthy population. There are currently no known direct causes of this condition, although some correlations have been noted. Commonly found in women, the asymptomatic presentation in men is very rare. Herein, we report the case of an 18-year-old man who presented to our institution with asymptomatic myocardial infarction secondary to a spontaneous dissection of the left anterior descending coronary artery. Until now, there is no specific guideline for SCAD. Choice of treatment should be tailored to the clinical condition of each individual patient.

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Section: Discussionmentioning

confidence: 60%

“…Using antiplatelet, even with GPIIb/IIIa, beta-blocker and some cases with heparin, showed successful and spontaneous closure of the dissection. 2,4,6 This patient was treated using medical therapy with antiplatelet, beta blocker, and ace inhibitor.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous coronary artery dissection causing myocardial infarction in an 18-year-old man: A case report

Herry

Tonang

Herlambang

et al. 2013

AMJ

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“…The medical, interventional, and surgical management approaches have all been reported to be effective [21,22]. The overall prognosis mandates close follow-up of patients with SCAD, as one cohort study reported a recurrence rate of SCAD as high as 29.4% in 10 years, predominantly in females [23].…”

Section: )mentioning

confidence: 99%

A Case of Post-partum Spontaneous Coronary Artery Dissection with Pulmonary Embolism: Survival with Thrombectomy and Stent Implant.

Thei¹

2015

J Clin Case Rep

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Spontaneous Coronary Artery Dissection (SCAD) is a rare life-threatening cause of acute coronary syndrome. It can affect young patients without atherosclerotic risk factors, particularly women in the antepartum or early post-partum period, as well as geriatric patients at high risk for atherosclerotic disease. The pathogenesis linking SCAD with pregnancy has not been fully elucidated. The few reported cases of SCAD in the setting of concomitant Pulmonary Embolism (PE) may highlight a potential mechanism in the pregnant or postpartum woman. Heretofore, cases of SCAD with the setting of pulmonary embolism have all been treated conservatively with medical therapy. We herein report a case of SCAD in the left anterior descending artery resulting in Non-ST elevation myocardial infarction and low ejection fraction associated with an acute pulmonary embolism in a young post-partum patient who was treated successfully with thrombectomy followed by stent placement. Her cardiac function returned to normal within six months with no recurrence of symptoms. To our knowledge, this is the first case of SCAD in the setting of pulmonary embolism who was successfully treated with thrombectomy and stent placement.

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“…However, multi-vessel dissection involvement [1] has been identified which generally requires intervention. Asymtomatic cases are rare and are diagnosed incidentally [2,3]. We present a case of asymptomatic SCAD which was managed conservatively; we also review the literature and various treatment options.…”

Section: Introductionmentioning

confidence: 98%

An unusual case presentation of spontaneous coronary artery dissection

Thumma¹,

Bathina²,

Madiraju³

et al. 2012

WJCD

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Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction in the young which can be life threatening. The clinical presentation is wide, ranging from simple chest pain to sudden death. Asymptomatic spontaneous coronary dissection is extremely rare. We present a case of asymptomatic spontaneous coronary artery dissection which was managed conservatively; we also review the literature and various treatment options.

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Spontaneous asymptomatic coronary artery dissection in a young man

Cited by 6 publications

References 7 publications

Spontaneous coronary artery dissection causing myocardial infarction in an 18-year-old man: A case report

Spontaneous coronary artery dissection causing myocardial infarction in an 18-year-old man: A case report

A Case of Post-partum Spontaneous Coronary Artery Dissection with Pulmonary Embolism: Survival with Thrombectomy and Stent Implant.

An unusual case presentation of spontaneous coronary artery dissection

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