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

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

Volume: 17 Issue: 4

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

Affiliation:

• Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265,United States

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

Abstract: 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.

Cite this article as:

Al Emam Abdel R.*, Akkad Haysam , Asawaeer Majid and Pompili Vincent , Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!, Current Cardiology Reviews 2021; 17 (4) : e310521172093 . https://dx.doi.org/10.2174/1573403X15666190513101614

DOI https://dx.doi.org/10.2174/1573403X15666190513101614	Print ISSN 1573-403X
Publisher Name Bentham Science Publisher	Online ISSN 1875-6557