Multivessel spontaneous coronary artery dissection of left and right coronary systems

Area of Science:

• Cardiology
• Vascular Medicine
• Medical Case Reports

Background:

• Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome.
• It disproportionately affects younger individuals and women, often without traditional cardiovascular risk factors.

Observation:

• A young male presented with acute coronary syndrome and ST-segment elevation on ECG after physical exertion.
• Coronary angiography identified spontaneous coronary artery dissection affecting both the left anterior descending and right coronary arteries simultaneously.

Findings:

• Simultaneous SCAD of multiple coronary arteries is exceptionally rare.
• The case highlights the importance of considering SCAD in young patients with acute coronary syndrome, even with extensive arterial involvement.

Implications:

• This case expands the understanding of SCAD presentation and its potential to involve multiple vessels.
• It underscores the need for prompt diagnosis and consideration of SCAD in the differential diagnosis of acute coronary syndromes in younger populations.
• Further research into the management of multi-vessel SCAD is warranted.