Unique Spontaneous Coronary Artery Dissection in an Elderly Woman

Abstract

Spontaneous coronary artery dissection is a rare condition, typically occurring in younger women. A 75-year-old woman with this condition, 17 years older than previously reported, is described, including her unusual presentation with angina rather than infarct. The 112 previously reported cases are summarized and treatment options discussed.

Multivessel Spontaneous Coronary Artery Dissection after Heavy Lifting in an Elderly Diabetic Man

“…Our patient is the third reported case of SCAD in someone aged > 70 years, and the first patient to have dissections of the LAD, the first major diagonal and the RCA at the same time. The other two cases in elderly patients were reported by Laslett et al 8 and Sakamota et al 9 In conclusion, repetitive mechanical stress and heavy lifting by a diabetic patient who has no indication of atherosclerosis in the coronary arteries may cause multiple SCADs. …”

“…Our patient is the third reported case of SCAD in someone aged > 70 years, and the first patient to have dissections of the LAD, the first major diagonal and the RCA at the same time. The other two cases in elderly patients were reported by Laslett et al 8 and Sakamota et al . 9…”

Unique Spontaneous Unhealed Chronic Multivessel Coronary Artery Dissection in an Elderly Man

“…It is associated with pregnancy during the third trimester and 3 months postpartum (21.4%). [2][3][4][5][6][7][8] The pattern and severity of presentation are variable and related to the extent of dissection, its rate of development, and the vessel involved. 3,9 In women with SCAD there is a predilection for the left coronary system (84%), whereas in men, the right coronary artery is usually affected (67%).…”

Spontaneous Coronary Artery Dissection A Case Report and Review of the Literature

“…17 Iatrogenic trauma has also resulted in coronary arterial dissection. This may occur secondary to cardiac catheterization, 14, 19 and cardiac surgery.2,20 Catheter-induced coronary artery dissection is an extremely rare complication of coronary angiography.…”