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Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia

Artur Schneider1, S Michael Gharacholou2

  • 1Department of Internal Medicine, Mayo Clinic, Jacksonville, Florida.

Texas Heart Institute Journal
|May 9, 2024
PubMed

Insights

Spontaneous coronary artery dissection, a rare cause of heart attack in men, was diagnosed in a male patient with fibromuscular dysplasia. Early recognition and treatment led to significant recovery.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome.
  • While predominantly affecting women, SCAD can occur in men.

Observation:

  • A male patient experienced cardiac arrest due to ST-segment elevation myocardial infarction caused by SCAD.
  • Further imaging revealed fibromuscular dysplasia in other arteries.

Findings:

  • The patient received guideline-directed medical therapy and cardiac rehabilitation.
  • Significant clinical improvement was observed post-intervention.

Implications:

  • Increased awareness and improved imaging enhance SCAD diagnosis in both sexes.
  • Screening for arteriopathies is crucial for unclear acute coronary syndrome cases.

Keywords:
Dissection, blood vesselST elevation myocardial infarctionacute coronary syndromecoronary vesselsfibromuscular dysplasia

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