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Spontaneous coronary artery dissection: a rare diagnosis in a postmenopausal woman
Karim Saleb1, Mohammed Gibreal2, Gurpreet Sodhi3
1Cardiothoracic Surgery , Alexandria University , Alexandria , Egypt.
Insights
A rare case of spontaneous coronary artery dissection caused a myocardial infarction in a 50-year-old woman. Medical management led to significant improvement, highlighting a successful treatment approach for this condition.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Cardiology
Background:
- Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction (MI), particularly in women.
- SCAD involving the left anterior descending artery presents unique challenges due to its critical role in myocardial perfusion.
Abstract:
We report a case of a 50-year-old ex-smoker, postmenopausal woman presenting with an acute myocardial infarction caused by a spontaneous coronary artery dissection of a long 'wrap-around' left anterior descending coronary artery. After the diagnostic coronary angiography, she was treated medically with subsequent improvement.
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