Spontaneous left main coronary artery dissection occurred in a young male: a case report and review of literature

Abstract

Background Spontaneous coronary artery dissection (SCAD) is now recognized as an important cause of acute coronary syndrome (ACS), which is thought to be more prevalent in women. However, the male patients, on the other hand, cannot be easily ignored. Case presentation A 26-year-old male suffered from SCAD that occurred in the left main coronary artery (LMCA) and a secondary acute myocardial infraction (AMI). Coronary CT angiography and coronary angiography (CAG) revealed aneurysms in the LMCA and right coronary artery (RCA), as well as a total occlusion in the proximal branch of the left anterior descending artery (LAD). Along with drug therapy, coronary artery bypass graft (CABG) surgery was recommended, and the patient has been symptom-free for one year. Conclusion We report a case of spontaneous left main coronary artery dissection that occurred in a young male. The necessity of identifying typical imaging features and following up patients with SCAD for life to reduce the risk of fatal cardiac complications cannot be overstated.

Spontaneous coronary artery dissection in the context of tamoxifen; Is there any correlation?

“…SCAD can affect any of the coronary arteries, with the left anterior descending artery (LAD) being the most frequently involved, followed by the right coronary artery (RCA), and rarely the left main coronary artery (LMCA). This occurs due to spontaneous, non‐atherosclerotic separation of the coronary artery wall, resulting in an intramural hematoma (IMH) in the false lumen, which may also be associated with an intimal tear 3–5 . Studies have estimated that SCAD accounts for 0.1%–0.4% of ACS cases, which has increased to 4% in recent years.…”

“…non-atherosclerotic separation of the coronary artery wall, resulting in an intramural hematoma (IMH) in the false lumen, which may also be associated with an intimal tear. [3][4][5] Studies have estimated that SCAD accounts for 0.1%-0.4% of ACS cases, which has increased to 4% in recent years. Additionally, SCAD has been identified as the cause of 0.5% of sudden cardiac death cases after autopsy.…”