Progressive spontaneous coronary artery dissection secondary to fibromuscular dysplasia requiring mechanical
Marta Alonso-Fernández-Gatta1, Aitor Uribarri1, Alejandro Diego-Nieto1
1Department of Cardiology, University Hospital of Salamanca, Salamanca, Spain.
Abstract:
Spontaneous coronary artery dissection (SCAD) usually appears as an acute coronary syndrome with good prognosis. We present the case of a 39-year-old woman with progressive SCAD secondary to fibromuscular dysplasia with catastrophic course. The patient required several mechanical circulatory support systems including a left ventricular assist device (CentriMag®, Thoratec, Pleasanton, CA, USA) as bridge to recovery. <Learning objective: The beneficial use of mechanical circulatory support devices as a bridge to recovery or heart transplant in the setting of refractory cardiogenic shock in spontaneous coronary artery dissection.>.
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