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Unusual Finding of Type 1 and Type 2 Spontaneous Coronary Artery Dissection in a Multiparous Female: A Case Report

Aditya Patel1, Jenna DaCosta1, Ruhma Ali1

  • 1Department of Internal Medicine, Saint Michael's Medical Center, Newark, NJ, USA.

Journal of Medical Cases
|April 25, 2022
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a rare heart condition affecting young women. This case highlights a unique presentation of SCAD in a multiparous female, emphasizing the need for physician awareness.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome, particularly in young females.
  • Risk factors include connective tissue disorders, atherosclerosis, hormonal imbalances, and stressors.
  • SCAD is classified into three types based on angiographic findings.

Observation:

  • A unique case of a multiparous female with SCAD is presented.
  • The patient exhibited concomitant type 1 and type 2 angiographic features.
  • She had no significant traditional risk factors for SCAD.

Findings:

  • The patient was managed with medical therapy and close monitoring.
  • This case demonstrates a rare presentation of SCAD in a young woman.

Implications:

  • Highlights the importance of physician awareness regarding SCAD in young females, even without typical risk factors.
  • Underscores the need for considering SCAD in the differential diagnosis of acute coronary syndrome in this demographic.

Keywords:
Acute coronary syndromeAngiographyMultiparous femaleSpontaneous coronary artery dissection

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