Spontaneous coronary artery dissection involving all major arteries LAD, LCX and RCA -A case report

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and sudden cardiac death. Amongst various etiologies thought to be responsible for this condition, atherosclerosis seems to be the most common. There are various case reports on (SCAD) of single coronary artery but the presence of SCAD of all three arteries is not known. We describe a case of a 45-year-old gentleman without any conventional coronary risk factors, who was referred to us at Tata Main hospital, Jamshedpur, for cardiac evaluation prior to his urethral surgery. Although asymptomatic cardiac-wise, his ECG incidentally revealed healed inferior wall myocardial infarction. Echocardiogram confirmed hypokinetic inferior wall with left ventricular ejection fraction of 50%. His coronary angiography showed spontaneous dissection of LAD, LCX and RCA which was managed conservatively.

Unusual Finding of Type 1 and Type 2 Spontaneous Coronary Artery Dissection in a Multiparous Female: A Case Report

“…The overall reported incidence of SCAD is estimated to be between 0.28% to 1.1% based on angiographic assessment [3]; however, they do not consider the notable number of sudden deaths that occur due to spontaneous dissections which might lead to an increase in the actual incidence of SCAD [4]. The increased use of intracoronary imaging for chest pain evaluations have significantly improved our understanding of this distinct pathology.…”