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A Rare Case of Multivessel SCAD Successfully Treated with Conservative Medical Management
Lance Alquran1, Ankita Patel1, Lucy Safi2
1Department of Internal Medicine, Hackensack Meridian Health Mountainside Medical Center, Montclair, New Jersey 07028, USA.
Insights
Multivessel spontaneous coronary artery dissection (SCAD) in a female patient resolved with conservative management. Repeat angiography showed near-complete healing of the left anterior descending artery, right coronary artery, and ramus.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Cardiology
Background:
- Spontaneous Coronary Artery Dissection (SCAD) is a rare cause of myocardial infarction, particularly in young to middle-aged women.
- Multivessel SCAD, involving multiple coronary arteries, presents a complex clinical challenge.
- The patient had no traditional cardiovascular risk factors or known predisposing conditions.
Abstract:
A female patient presented with severe, symptomatic multivessel spontaneous coronary artery dissection (SCAD) with no known medical history or risk factors. The affected vessels were left anterior descending artery (LAD), right coronary artery (RCA), and the ramus. She was treated with conservative medical management. Two months later, repeat coronary angiogram to evaluate for any residual disease was performed which showed near-complete resolution of all involved vessels.
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