Submit Manuscript  

Article Details


Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

[ Vol. 17 , Issue. 2 ]

Author(s):

Abdel Rahman Al Emam*, Haysam Akkad, Majid Asawaeer and Vincent Pompili   Pages 228 - 231 ( 4 )

Abstract:


Background: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women.

Case Presentation: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome.

Conclusion: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.

Keywords:

Spontaneous coronary artery dissection, left anterior descending, STEMI, percutaneous intervention, coronary angiography.

Affiliation:

Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265, Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265, Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265, Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265



Read Full-Text article