Multivessel spontaneous coronary artery dissection with simultaneously three different angiographic patterns

Area of Science:

• Cardiology
• Vascular Biology
• Internal Medicine

Background:

• Spontaneous coronary artery dissection (SCAD) is a non-traumatic dissection of the coronary artery wall.
• SCAD is an increasingly recognized cause of acute coronary syndrome (ACS), especially in young to middle-aged women.
• It often occurs in individuals lacking traditional cardiovascular risk factors.

Observation:

• This report details an unusual case of a middle-aged woman diagnosed with multivessel SCAD.
• The patient presented with acute coronary syndrome.
• No significant traditional cardiovascular risk factors were identified.

Findings:

• The patient experienced spontaneous coronary artery dissection affecting multiple coronary arteries.
• Successful medical management was achieved for the multivessel SCAD.
• This contrasts with some SCAD cases requiring more invasive interventions.

Implications:

• This case underscores that SCAD can affect multiple coronary arteries simultaneously.
• It demonstrates the potential efficacy of conservative medical management in select multivessel SCAD cases.
• Further research into SCAD pathophysiology and optimal treatment strategies is warranted.