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Spontaneous coronary artery dissection and proximal LAD stenosis in a young male with HIV: A case report

Stella-Maria Kyvelou1, Konstantinos Kalogeras1, Nikolaos Vythoulkas-Biotis1

  • 13rd Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Thoracic Diseases Hospital of Athens "Sotiria", Athens, Greece.

Journal of Cardiovascular and Thoracic Research
|March 16, 2026
PubMed

Insights

This case report highlights a rare instance of spontaneous coronary artery dissection (SCAD) and stenosis in a 45-year-old male with HIV. It underscores the importance of considering SCAD in HIV patients experiencing acute coronary syndrome.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Biology

Background:

  • Antiretroviral therapy in HIV/AIDS patients is associated with elevated cardiovascular risk.
  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome, predominantly affecting middle-aged women, often during pregnancy.
  • Coronary artery disease presentation can be atypical in patients with human immunodeficiency virus (HIV).

Keywords:
Acquired immune deficiency syndromeAntiretroviral therapyHuman immunodeficiency virusMyocardial infarctionSpontaneous coronary artery dissection

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