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Current Cardiology Reviews


ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

Case Report

Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

Author(s): Abdel R. Al Emam*, Haysam Akkad, Majid Asawaeer and Vincent Pompili

Volume 17 , Issue 4 , 2021

Published on: 13 May, 2019

Article ID: e310521172093 Pages: 4

DOI: 10.2174/1573403X15666190513101614

Price: $65


Background: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women.

Case Presentation: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome.

Conclusion: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.

Keywords: Spontaneous coronary artery dissection, left anterior descending, STEMI, percutaneous intervention, coronary angiography, MRI.

Graphical Abstract

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