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Recurrent spontaneous coronary artery dissection.
Jonathan Eddinger1, William A Dietz
1Division of Cardiology, Department of Medicine, Maine Medical Center, Portland, ME 04102-3175, USA. eddinj@mmc.org
Summary
Recurrent spontaneous coronary artery dissection (SCAD) is uncommon, with few documented cases. This report details a patient with recurrent SCAD successfully treated using coronary artery bypass surgery.
Area of Science:
- Cardiology
- Vascular Medicine
- Medical Case Reports
Background:
- Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction, particularly in younger women.
- Recurrence of SCAD is infrequently reported, posing diagnostic and therapeutic challenges.
Observation:
- A patient presented with recurrent episodes of spontaneous coronary artery dissection.
- The dissection involved multiple coronary arteries over time.
Findings:
- Coronary artery bypass surgery was performed for recurrent SCAD.
- This case adds to the limited literature on recurrent SCAD and its management.
Implications:
- Coronary artery bypass surgery may be a viable option for managing recurrent SCAD.
- Further research is needed to understand the mechanisms and optimal treatment strategies for recurrent SCAD.