Multi-vessel spontaneous coronary artery dissection in a patient with aortic dissection: a case report.
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ABSTRACT: Background
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that is often misdiagnosed.Case summary
We describe a case of multi-vessel SCAD in a 73-year-old patient with no evidence of fibromuscular dysplasia that is presented with Type A aortic dissection after undergoing an ascending aorta and aortic arch replacement with stent placement in the abdominal aorta. The use of percutaneous coronary intervention with cutting balloons and drug-eluting stent implantation helped wean the patient off extracorporeal membrane oxygenation successfully.Discussion
To our knowledge, this is the first reported case of multi-vessel SCAD presenting concomitantly with aortic dissection. More research is needed to help understand the pathophysiology of the two conditions as well as possible links between them.
SUBMITTER: Alyamani M
PROVIDER: S-EPMC9263159 | biostudies-literature |
REPOSITORIES: biostudies-literature
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