Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma
Spontaneous coronary artery dissection (SCAD) is a rare entity. It has been described in various settings like pregnancy, collagen vascular diseases, cocaine abuse, heavy exercise, variant angina, eosinophilic arteritis, or fibro muscular dysplasia. It is also easy to miss a dissection during angiog...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-12-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215004022 |
| _version_ | 1819282922742480896 |
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| author | Dheeraj D. Bhatt Ranjan Kachru Sanjay Gupta Upendra Kaul |
| author_facet | Dheeraj D. Bhatt Ranjan Kachru Sanjay Gupta Upendra Kaul |
| author_sort | Dheeraj D. Bhatt |
| collection | DOAJ |
| description | Spontaneous coronary artery dissection (SCAD) is a rare entity. It has been described in various settings like pregnancy, collagen vascular diseases, cocaine abuse, heavy exercise, variant angina, eosinophilic arteritis, or fibro muscular dysplasia. It is also easy to miss a dissection during angiography, as the typical radiolucent lumen seen in coronary angiography may be absent in many cases.
In this report, we describe the case of a 35-year-old female who presented with acute ST elevation myocardial infarction due to spontaneous coronary dissection. She had been having episodic chest pain for one year and had been seen by two different cardiologists but was thought to have non-cardiac symptoms. Even during the index hospitalization, she underwent coronary angiography three times before coronary dissection could be identified as the cause of her symptoms.
She underwent coronary artery bypass graft surgery uneventfully. However, even after myocardial revascularization, she has had multiple episodes of chest pain requiring hospitalization. However, we have not been able to find a specific cause for it and the cause of her recurrent chest pain remains an enigma. This case highlights the problems, which arise while managing a case of SCAD. More research is needed to find the exact etiology and long-term prognosis of this condition. |
| first_indexed | 2024-12-24T01:23:17Z |
| format | Article |
| id | doaj.art-f5e5b27a6ebe4e9b92ef30228ec9f06a |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-24T01:23:17Z |
| publishDate | 2015-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-f5e5b27a6ebe4e9b92ef30228ec9f06a2022-12-21T17:22:35ZengElsevierIndian Heart Journal0019-48322015-12-0167S3S18S2010.1016/j.ihj.2015.09.006Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigmaDheeraj D. Bhatt0Ranjan Kachru1Sanjay Gupta2Upendra Kaul3Fortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, IndiaFortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, IndiaFortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, IndiaExecutive Director and Dean, Fortis Rajan Dhall Hospital, Sector B, Pocket 1, Vasant Kunj, New Delhi 110070, IndiaSpontaneous coronary artery dissection (SCAD) is a rare entity. It has been described in various settings like pregnancy, collagen vascular diseases, cocaine abuse, heavy exercise, variant angina, eosinophilic arteritis, or fibro muscular dysplasia. It is also easy to miss a dissection during angiography, as the typical radiolucent lumen seen in coronary angiography may be absent in many cases. In this report, we describe the case of a 35-year-old female who presented with acute ST elevation myocardial infarction due to spontaneous coronary dissection. She had been having episodic chest pain for one year and had been seen by two different cardiologists but was thought to have non-cardiac symptoms. Even during the index hospitalization, she underwent coronary angiography three times before coronary dissection could be identified as the cause of her symptoms. She underwent coronary artery bypass graft surgery uneventfully. However, even after myocardial revascularization, she has had multiple episodes of chest pain requiring hospitalization. However, we have not been able to find a specific cause for it and the cause of her recurrent chest pain remains an enigma. This case highlights the problems, which arise while managing a case of SCAD. More research is needed to find the exact etiology and long-term prognosis of this condition.http://www.sciencedirect.com/science/article/pii/S0019483215004022Spontaneous coronary artery dissectionCoronary artery diseaseCoronary spasm |
| spellingShingle | Dheeraj D. Bhatt Ranjan Kachru Sanjay Gupta Upendra Kaul Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma Indian Heart Journal Spontaneous coronary artery dissection Coronary artery disease Coronary spasm |
| title | Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma |
| title_full | Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma |
| title_fullStr | Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma |
| title_full_unstemmed | Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma |
| title_short | Recurrent chest pain after treatment of spontaneous coronary artery dissection: An enigma |
| title_sort | recurrent chest pain after treatment of spontaneous coronary artery dissection an enigma |
| topic | Spontaneous coronary artery dissection Coronary artery disease Coronary spasm |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215004022 |
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