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A case of spontaneous coronary artery dissection with early de novo recurrence

Takafumi Okura1, Koji Takahashi1, Tomoki Sakaue1

  • 1Department of Community and Emergency Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.

Journal of Cardiology Cases
|July 20, 2019
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attack, mainly affecting young women. This case highlights SCAD can recur very early, within days of the initial event.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS).
  • SCAD predominantly affects young to middle-aged women and is linked to conditions like stress, pregnancy, and fibromuscular dysplasia.

Observation:

  • A case of SCAD is presented with a rare de novo recurrence.
  • The recurrence occurred unusually early, just 4 days after the initial SCAD event.

Findings:

  • SCAD recurrence is a known long-term complication, typically observed over years.
  • This case demonstrates the possibility of very early SCAD recurrence, challenging typical follow-up expectations.

Implications:

  • Clinicians should maintain a high index of suspicion for SCAD in young women presenting with ACS.
  • The potential for rapid recurrence necessitates prompt diagnosis and consideration of tailored management strategies for SCAD patients.

Keywords:
Acute coronary syndromeDe novo recurrenceHormonal therapySpontaneous coronary artery dissection

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