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The Relationship between Spontaneous Multi-Vessel Coronary Artery Dissection and Celiac Disease

Nermin Bayar1, Göksel Çağırcı1, Çağın Mustafa Üreyen1

  • 1Department of Cardiology, Antalya Education and Research Hospital, Antalya, Turkey.

Korean Circulation Journal
|May 30, 2015
PubMed

Insights

Celiac disease (CD) is linked to heart issues. This case report details a young male with CD experiencing spontaneous multi-vessel coronary artery dissection, a rare cardiac event.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Immunology

Background:

  • Celiac disease (CD) is an immune-mediated enteropathy affecting the small intestine.
  • Individuals with CD have a higher prevalence of cardiovascular conditions like coronary artery disease and atherosclerosis.
  • The link between CD and cardiac events, particularly spontaneous coronary artery dissection (SCAD), requires further investigation.

Purpose of the Study:

  • To report a rare case of spontaneous multi-vessel coronary artery dissection in a young male patient with celiac disease.
  • To highlight the potential association between celiac disease and severe cardiovascular events.

Main Methods:

  • Case report presentation.
  • Review of patient's medical history, diagnostic findings, and clinical course.

Main Results:

  • A young male patient with diagnosed celiac disease presented with acute myocardial infarction.
  • Coronary angiography revealed spontaneous dissection in two major coronary arteries.
  • This represents the first reported instance of spontaneous multi-vessel coronary artery dissection in a patient with celiac disease.

Conclusions:

  • Celiac disease may be associated with an increased risk of spontaneous coronary artery dissection.
  • This case underscores the importance of considering cardiovascular complications in patients with celiac disease.
  • Further research is warranted to elucidate the pathophysiological mechanisms linking CD and SCAD.

Keywords:
Celiac diseaseDissectionHomocysteine

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