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

Herry, Yan; Tonang, Alvin; Herlambang, Victor; Anggriyani, Novi

doi:10.4066/amj.2013.1897

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…In the literature, although there are studies supporting family history of coronary diseases in SCAD cases like the studies of Çolak et al and Dhawan et al, there are also some other SCAD case reports not indicating family history of coronary diseases. 5,18,26,[31][32][33][34][35] Among 3 cases, we present, the first case's mother was learnt to have died suddenly at the age of 37 years without any clear cause of death, in addition to her mother, her father was also learnt to have died from cardiovascular problems at the age of 51 years after a mitral valve replacement at the age of 30 years, supporting a possible hereditary background of SCAD. Also, the cardiovascular problems stated for the second child of the second case can be considered in scope of hereditary links as well as the possible adverse effects of the oral contraceptives used by the mother before pregnancy.…”

Section: Discussionmentioning

confidence: 89%

Spontaneous Coronary Artery Dissection

Melez

Arslan

Melez

et al. 2015

American Journal of Forensic Medicine &Amp; Pathology

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The number of cases with spontaneous coronary artery dissection (SCAD) is considered to be being underestimated because of a large amount of SCAD leading to sudden death without previous diagnosis. Besides, not only in clinics but also in autopsy practice, correct diagnosis of SCAD is important to prevent forensic malpractice.The article is intended to discuss the pathological findings through the forensic point of view for improving the malpractice expertise in scope of clinicians' timely antemortem diagnosis according to risk factors and in scope of forensic pathologists' the cause of death determination ability according to macroscopical and microscopical findings of the autopsy.In 3 cases reported, the main characteristics were the female sex, pregnancy history and a sudden death without any trauma. However, although there are many women giving birth or using oral contraceptives, only some of them are facing with SCAD. This suggests the possibility of some hereditary factors, whereas hereditary characteristics may be understood in many different ways like hormone-releasing regulating mechanisms as well as immunity, morphology, or any other mechanism. For instance, autoimmunity has been also a hereditary underlying factor for vessel injury considered in presented cases.

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Section: Discussionmentioning

confidence: 89%

Spontaneous Coronary Artery Dissection

Melez

Arslan

Melez

et al. 2015

American Journal of Forensic Medicine &Amp; Pathology

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“…In 4 of the 7 published cases, chest pain was the first clinical symptom of SCAD[ 17 - 20 ]. However, one other case of SCAD in an 18-year-old boy was asymptomatic[ 21 ]. As in the adult group, the LAD is reportedly the most affected coronary artery in adolescents with SCAD, but not in this case[ 17 - 18 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, one other case of SCAD in an 18-year-old boy was asymptomatic[ 21 ]. As in the adult group, the LAD is reportedly the most affected coronary artery in adolescents with SCAD, but not in this case[ 17 - 18 , 21 ]. However, there were obvious differences between the adolescent group and the adult group with SCAD.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous dissection of proximal left main coronary artery in a healthy adolescent presenting with syncope: A case report

Liu¹,

Jia²,

Ma³

et al. 2022

WJCC

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BACKGROUND Spontaneous coronary artery dissection (SCAD) is a frequent cause of acute coronary syndrome in young to middle-aged women with few or no traditional cardiovascular risk factors. Chest pain is the most frequently described presenting symptom, but syncope is extremely rare. Herein, we report on a 16-year-old girl who presented with an episode of syncope occurring during a race. Despite significantly elevated troponin level, the diagnosis of the left main coronary artery SCAD with cardiogenic shock was delayed. CASE SUMMARY A 16-year-old girl presented with an episode of syncope. Myocardial injury markers were positive. Echocardiography showed a mildly reduced left ventricular ejection fraction (50%). Although initially stable, she later experienced recurrent chest pain accompanying precordial ST segment elevation with dynamic changes and developed cardiogenic shock, necessitating emergent revascularization. Coronary angiography demonstrated almost total occlusion at the ostium and proximal segment of the left main trunk coronary artery (LMT). Intravascular ultrasound confirmed a false lumen with prominent dissection in the LMT. Percutaneous coronary intervention assisted by intra-aortic balloon pump was conducted in the LMT. A 3.5 mm × 24 mm everolimus-eluting stent was deployed to the focal lesions of the LMT. A postprocedural electrocardiogram showed alleviation of the precordial ST-segment elevation. The diagnosis of SCAD was confirmed. Transthoracic echocardiography showed an improved left ventricular ejection fraction (57%). The patient was asymptomatic during the 24-mo. follow-up period. CONCLUSION SCAD should always be considered in the differential diagnosis of acute coronary syndrome presentations in low-risk patients, regardless of age.

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

Cited by 2 publications

References 4 publications

Spontaneous Coronary Artery Dissection

Spontaneous Coronary Artery Dissection

Spontaneous dissection of proximal left main coronary artery in a healthy adolescent presenting with syncope: A case report

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