Spontaneous Left Main Coronary Artery Dissection: Case Report

Abstract

Left main coronary artery (LMCA) dissections may be iatrogenic or spontaneous. Spontaneous coronary artery dissections (SCADs) are common in pregnant women, with predominantly left anterior descending artery (LAD) involvement. In males, coronary artery dissections may happen in alcoholics. Spontaneous LMCA dissection as the cause of myocardial infarction is very rare. We are reporting a case of spontaneous LMCA dissection in a 45-year-old male alcoholic with the involvement of LAD ostium, which resolved spontaneously with conservative management.

Progress ofIJCDWin 2021

“…16 Interesting case reports of left main coronary artery dissection, left main spasm, malignant subtle electrocardiogram (ECG) to look out for, myocardial infarction with nonobstructive coronary artery, Takotsubo cardiomyopathy, and Ortner's syndrome are worth mentioning. [17][18][19][20][21][22] Bhambha-niandJoshi describes an interesting case of central vein stenosis in hemodialysis patient that yielded to percutaneous mitral valvuloplasty balloon. 23 Rheumatic fever is a common problem in India especially parenteral administration of benzathine penicillin.…”