Related Experiment Video

Updated: Jul 12, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.6K

Saved by Menorrhagia: Spontaneous Coronary Artery Dissection Complicated With a Left Ventricular Thrombus

Amit Ramrattan1, Kevin Maraj1, Raelene Allen1

  • 1Internal Medicine, Port-of-Spain General Hospital, Port-of-Spain, TTO.

Cureus
|October 27, 2023
PubMed

Insights

Spontaneous Coronary Artery Dissection (SCAD) is a rare cause of heart attack, particularly in young women. This case report highlights SCAD diagnosis in a patient who did not receive standard clot-busting drugs.

Area of Science:

  • Cardiology
  • Medical Case Reports

Background:

  • Spontaneous Coronary Artery Dissection (SCAD) is an uncommon, non-atherosclerotic cause of Acute Coronary Syndrome (ACS).
  • SCAD is increasingly diagnosed, often affecting younger women.
  • Standard treatment for suspected ST-elevation Myocardial Infarction (STEMI) may not be appropriate for SCAD.

Observation:

  • A case report details a patient presenting with suspected STEMI.
  • The patient fortuitously did not receive tissue plasminogen activator (TPA) therapy.
  • Echocardiogram revealed a left ventricular thrombus.

Findings:

  • Coronary angiogram confirmed Spontaneous Coronary Artery Dissection (SCAD).
  • The patient's presentation mimicked STEMI but was due to SCAD.
  • Left ventricular thrombus was an associated finding.

Implications:

  • This case underscores the importance of considering SCAD in ACS, especially in young women.
  • Avoiding inappropriate TPA administration in potential SCAD cases is crucial.
  • Further research into SCAD diagnosis and management is warranted.

Keywords:
acute coronary syndromecoronary artery angiogramspontaneous coronary dissectionst-elevation myocardial infarction (stemi)ventricular thrombus

More Related Videos

Left Coronary Artery Ligation: A Surgical Murine Model of Myocardial Infarction05:48

Left Coronary Artery Ligation: A Surgical Murine Model of Myocardial Infarction

Published on: August 9, 2022

4.4K
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

10.4K

Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
23
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
2.8K
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
19
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
22
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
30