Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention
Spontaneous coronary artery dissection (SCAD) presenting as stroke is indeed an extremely rare scenario. We hereby describe our experience of a case of SCAD in a 29-year-old man who presented with a massive brain stroke. Based on the neurological findings, the diagnosis of left hemiparesis, left upp...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Clinical and Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=4;spage=102;epage=104;aulast=Sharma |
| _version_ | 1828014085411700736 |
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| author | Sanjay Kumar Sharma Rajiv Motiani |
| author_facet | Sanjay Kumar Sharma Rajiv Motiani |
| author_sort | Sanjay Kumar Sharma |
| collection | DOAJ |
| description | Spontaneous coronary artery dissection (SCAD) presenting as stroke is indeed an extremely rare scenario. We hereby describe our experience of a case of SCAD in a 29-year-old man who presented with a massive brain stroke. Based on the neurological findings, the diagnosis of left hemiparesis, left upper motor neuron facial palsy, and acute right middle cerebral artery infarct was made. Coronary angiography displayed a large type B dissection along with heavy burden of thrombus and intimal hematoma in proximal to the mid-left anterior descending artery (LAD). SCAD of the LAD was managed with percutaneous coronary intervention using a provisional stenting approach with two overlapping drug-eluting stents. With this case, the author would like to outline vital clinical insights for clinicians managing such a challenging and perplexing patient cohort. |
| first_indexed | 2024-04-10T09:55:11Z |
| format | Article |
| id | doaj.art-3c6fef28717b4b438a26197bd87bec4c |
| institution | Directory Open Access Journal |
| issn | 2250-3528 |
| language | English |
| last_indexed | 2024-04-10T09:55:11Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Preventive Cardiology |
| spelling | doaj.art-3c6fef28717b4b438a26197bd87bec4c2023-02-16T12:26:17ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Preventive Cardiology2250-35282022-01-0111410210410.4103/jcpc.jcpc_25_22Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary interventionSanjay Kumar SharmaRajiv MotianiSpontaneous coronary artery dissection (SCAD) presenting as stroke is indeed an extremely rare scenario. We hereby describe our experience of a case of SCAD in a 29-year-old man who presented with a massive brain stroke. Based on the neurological findings, the diagnosis of left hemiparesis, left upper motor neuron facial palsy, and acute right middle cerebral artery infarct was made. Coronary angiography displayed a large type B dissection along with heavy burden of thrombus and intimal hematoma in proximal to the mid-left anterior descending artery (LAD). SCAD of the LAD was managed with percutaneous coronary intervention using a provisional stenting approach with two overlapping drug-eluting stents. With this case, the author would like to outline vital clinical insights for clinicians managing such a challenging and perplexing patient cohort.http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=4;spage=102;epage=104;aulast=Sharmaleft anterior descending arterypercutaneous coronary interventionspontaneous coronary artery dissectionstroke |
| spellingShingle | Sanjay Kumar Sharma Rajiv Motiani Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention Journal of Clinical and Preventive Cardiology left anterior descending artery percutaneous coronary intervention spontaneous coronary artery dissection stroke |
| title | Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention |
| title_full | Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention |
| title_fullStr | Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention |
| title_full_unstemmed | Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention |
| title_short | Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention |
| title_sort | spontaneous coronary artery dissection presenting as massive brain stroke happy landing with percutaneous coronary intervention |
| topic | left anterior descending artery percutaneous coronary intervention spontaneous coronary artery dissection stroke |
| url | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=4;spage=102;epage=104;aulast=Sharma |
| work_keys_str_mv | AT sanjaykumarsharma spontaneouscoronaryarterydissectionpresentingasmassivebrainstrokehappylandingwithpercutaneouscoronaryintervention AT rajivmotiani spontaneouscoronaryarterydissectionpresentingasmassivebrainstrokehappylandingwithpercutaneouscoronaryintervention |