[Spontaneous multivessel coronary dissection as a cause of acute myocardial infarct--case report]]

Area of Science:

• Cardiology
• Vascular Surgery
• Internal Medicine

Background:

• Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction (AMI), particularly in young women.
• Patients with underlying aortic pathology and renovascular hypertension may have increased risk.
• Renal artery surgery is a potential intervention for renovascular hypertension.

Observation:

• A young female with a history of aortic pathology and renovascular hypertension presented with AMI post-renal artery surgery.
• Coronary angiography revealed spontaneous dissection of the descending anterior and circumflex coronary arteries.
• The left main coronary artery remained unaffected.

Findings:

• Spontaneous coronary artery dissection was identified as the etiological factor for AMI in this patient.
• The dissection involved multiple coronary arteries, excluding the left main.
• Thrombolysis was administered as initial treatment for AMI.

Implications:

• This case highlights SCAD as a critical consideration in young females with cardiovascular risk factors presenting with AMI.
• Understanding the link between aortic pathology, renovascular hypertension, and SCAD is crucial for diagnosis and management.
• Further research into optimal therapeutic strategies for SCAD involving multiple coronary arteries is warranted.