Document
Spontaneous coronary artery dissection : an under-recognized cause of acute coronary syndromes.
Identifier
DOI 10.5001/omj.2017.65
Contributors
Al-Lawati, Hatim., Author
Publisher
Oman Medical Specialty Board.
Gregorian
2017-07
Language
English
English abstract
Spontaneous coronary artery dissection (SCAD) is a rare condition that is often underdiagnosed given limitations of conventional cineangiography. In addition to the diagnostic challenge, the condition poses a major therapeutic dilemma given paucity of literature to guide management. We report the case of a 55-year-old woman, who presented with acute coronary syndrome. Coronary angiography at the time of the index hospitalization revealed type 2 SCAD. She was managed conservatively. Repeat coronary angiography three months later showed complete resolution of the previously noted dissection. Because of the high association between SCAD and fibromuscular dysplasia (FMD), a cross-sectional imaging was performed in this case, which ruled out underlying FMD. The patient has been followed longitudinally since her index event and has had no reported recurrences.
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Resource URL
Citation
Al-Naabiyah, Hanan, & Al-Lawati, Hatim (2017). Spontaneous coronary artery dissection : an under-recognized cause of acute coronary syndromes. Oman Medical Journal, 32 (4), 344-348.
Category
Journal articles