Spontaneous Coronary Artery Dissection: A Case Report

Spontaneous coronary artery dissection (SCAD) is a rare and important cause of acute coronary syndrome and sudden cardiac death. Various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. SCAD is predominant in women and i...

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Main Authors: Vahid Mokhberi, Babak Bagheri, Seyfollah Navidi, Seyed Mohammad Amini
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-12-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/437
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author Vahid Mokhberi
Babak Bagheri
Seyfollah Navidi
Seyed Mohammad Amini
author_facet Vahid Mokhberi
Babak Bagheri
Seyfollah Navidi
Seyed Mohammad Amini
author_sort Vahid Mokhberi
collection DOAJ
description Spontaneous coronary artery dissection (SCAD) is a rare and important cause of acute coronary syndrome and sudden cardiac death. Various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. SCAD is predominant in women and is usually diagnosed via coronary artery angiography. Therapeutic interventions include medical therapy, percutaneous coronary artery intervention, and surgery based on lesion characteristics. We describe a 36-year-old woman with SCAD presenting with acute chest pain to Fatemeh-Zahra Hospital, Sari, Iran. The patient had no current atherosclerosis risk factors and had given birth 6 months previously. Coronary angiography was performed due to the persistence of the chest pain after initial management, and a spontaneous dissection of the left anterior descending artery was observed.  She underwent coronary artery bypass graft and was discharged in good condition.
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spelling doaj.art-c6ba84857cd544cdbf9ccbed82a5d7fa2022-12-22T03:11:53ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-12-01103389Spontaneous Coronary Artery Dissection: A Case ReportVahid Mokhberi0Babak Bagheri1Seyfollah Navidi2Seyed Mohammad Amini3Department of Heart, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.Department of Heart, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.Department of Heart, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.Department of Heart, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.Spontaneous coronary artery dissection (SCAD) is a rare and important cause of acute coronary syndrome and sudden cardiac death. Various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. SCAD is predominant in women and is usually diagnosed via coronary artery angiography. Therapeutic interventions include medical therapy, percutaneous coronary artery intervention, and surgery based on lesion characteristics. We describe a 36-year-old woman with SCAD presenting with acute chest pain to Fatemeh-Zahra Hospital, Sari, Iran. The patient had no current atherosclerosis risk factors and had given birth 6 months previously. Coronary angiography was performed due to the persistence of the chest pain after initial management, and a spontaneous dissection of the left anterior descending artery was observed.  She underwent coronary artery bypass graft and was discharged in good condition.https://jthc.tums.ac.ir/index.php/jthc/article/view/437Acute coronary syndrome • Dissection • Deathsuddencardiac • Coronary artery disease
spellingShingle Vahid Mokhberi
Babak Bagheri
Seyfollah Navidi
Seyed Mohammad Amini
Spontaneous Coronary Artery Dissection: A Case Report
Journal of Tehran University Heart Center
Acute coronary syndrome • Dissection • Death
sudden
cardiac • Coronary artery disease
title Spontaneous Coronary Artery Dissection: A Case Report
title_full Spontaneous Coronary Artery Dissection: A Case Report
title_fullStr Spontaneous Coronary Artery Dissection: A Case Report
title_full_unstemmed Spontaneous Coronary Artery Dissection: A Case Report
title_short Spontaneous Coronary Artery Dissection: A Case Report
title_sort spontaneous coronary artery dissection a case report
topic Acute coronary syndrome • Dissection • Death
sudden
cardiac • Coronary artery disease
url https://jthc.tums.ac.ir/index.php/jthc/article/view/437
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AT babakbagheri spontaneouscoronaryarterydissectionacasereport
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AT seyedmohammadamini spontaneouscoronaryarterydissectionacasereport