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Spontaneous multivessel coronary artery dissection with anomalous coronary artery

Nagesh Mahadevappa1, Bhupinder Singh, Shivakumar Bhairappa

  • 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.

BMJ Case Reports
|April 19, 2013
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attack in young adults. This case highlights a healthy 34-year-old man with multiple SCADs managed successfully with conservative treatment.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Medical Case Reports

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS).
  • SCAD typically affects young, healthy individuals, particularly women, often without traditional cardiovascular risk factors.
  • Understanding SCAD's presentation and management in diverse demographics is crucial.

Observation:

  • A 34-year-old healthy male presented with symptoms of acute coronary syndrome.
  • Diagnostic imaging revealed diffuse, multiple spontaneous coronary artery dissections.
  • The patient had no conventional risk factors for coronary artery disease.

Findings:

  • The patient was managed conservatively without invasive procedures.
  • The conservative approach led to an uneventful clinical course.
  • Long-term follow-up indicated a favorable outcome.

Implications:

  • This case expands the understanding of SCAD demographics beyond the typical female population.
  • Conservative management can be a viable and effective strategy for SCAD, even in cases with multiple dissections.
  • Further research into SCAD in male populations and optimal management strategies is warranted.

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