Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report
Abstract Background Spontaneous coronary artery dissection is a rare and important cause of myocardial infarction, especially in young women without other coronary artery disease. This arterial dissection can occur within or between any of the 3 layers. Its predisposing factors include connective ti...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03609-w |
| _version_ | 1797363686236487680 |
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| author | Raheleh Kavyani Soheila Salari Zeinab Norozi Saeid Hosseini Saifullah Abdi Alireza Rai Majid Maleki |
| author_facet | Raheleh Kavyani Soheila Salari Zeinab Norozi Saeid Hosseini Saifullah Abdi Alireza Rai Majid Maleki |
| author_sort | Raheleh Kavyani |
| collection | DOAJ |
| description | Abstract Background Spontaneous coronary artery dissection is a rare and important cause of myocardial infarction, especially in young women without other coronary artery disease. This arterial dissection can occur within or between any of the 3 layers. Its predisposing factors include connective tissue diseases (Marfone syndrome, Ehlers-Danlos syndrome), vasculitis (polyarteritis nodosa, systemic lupus erythematosus, and Kawasaki disease), atherosclerosis and fibromuscular dysplasia. Clinical presentations of spontaneous coronary artery dissection are wide spectrum from asymptomatic to acute coronary disease, sustained ventricular arrhythmia and sudden cardiac death. Case presentation We describe A 33-year-old man with history of Hodgkin’s lymphoma five years earlier that became a candidate for Patent foramen ovale closure due to recurrent embolic cerebrovascular accident. Before the intervention, coronary angiography incidentally showed dissection in the left main and all major coronary arteries. Conclusions Based on our hypothesis, chemoradiotherapy-induced arteriopathies could be consider as a predisposing factor for spontaneous coronary artery dissection. |
| first_indexed | 2024-03-08T16:24:32Z |
| format | Article |
| id | doaj.art-aeaa00cd891b435ab9c77fa052d6dfed |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-03-08T16:24:32Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-aeaa00cd891b435ab9c77fa052d6dfed2024-01-07T12:10:00ZengBMCBMC Cardiovascular Disorders1471-22612024-01-012411610.1186/s12872-023-03609-wLeft main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case reportRaheleh Kavyani0Soheila Salari1Zeinab Norozi2Saeid Hosseini3Saifullah Abdi4Alireza Rai5Majid Maleki6Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesRajaie Cardiovascular Medical and Research Center, School of Medicine, Iran University of Medical SciencesRajaie Cardiovascular Medical and Research Center, School of Medicine, Iran University of Medical SciencesHeart Valve Diseases Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesCardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesCardiovascular Intervention Research Center, Kermanshah University of Medical SciencesEchocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesAbstract Background Spontaneous coronary artery dissection is a rare and important cause of myocardial infarction, especially in young women without other coronary artery disease. This arterial dissection can occur within or between any of the 3 layers. Its predisposing factors include connective tissue diseases (Marfone syndrome, Ehlers-Danlos syndrome), vasculitis (polyarteritis nodosa, systemic lupus erythematosus, and Kawasaki disease), atherosclerosis and fibromuscular dysplasia. Clinical presentations of spontaneous coronary artery dissection are wide spectrum from asymptomatic to acute coronary disease, sustained ventricular arrhythmia and sudden cardiac death. Case presentation We describe A 33-year-old man with history of Hodgkin’s lymphoma five years earlier that became a candidate for Patent foramen ovale closure due to recurrent embolic cerebrovascular accident. Before the intervention, coronary angiography incidentally showed dissection in the left main and all major coronary arteries. Conclusions Based on our hypothesis, chemoradiotherapy-induced arteriopathies could be consider as a predisposing factor for spontaneous coronary artery dissection.https://doi.org/10.1186/s12872-023-03609-wSpontaneous coronary artery dissectionCoronary artery diseaseChemotherapyRadiotherapy |
| spellingShingle | Raheleh Kavyani Soheila Salari Zeinab Norozi Saeid Hosseini Saifullah Abdi Alireza Rai Majid Maleki Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report BMC Cardiovascular Disorders Spontaneous coronary artery dissection Coronary artery disease Chemotherapy Radiotherapy |
| title | Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report |
| title_full | Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report |
| title_fullStr | Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report |
| title_full_unstemmed | Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report |
| title_short | Left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of Hodgkin’s lymphoma-a case report |
| title_sort | left main and three vessels spontaneous coronary artery dissection as an incidental finding in young man with history of hodgkin s lymphoma a case report |
| topic | Spontaneous coronary artery dissection Coronary artery disease Chemotherapy Radiotherapy |
| url | https://doi.org/10.1186/s12872-023-03609-w |
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