Abstract
Spontaneous coronary artery dissection (SCAD) is a rare condition that is often underdiagnosed given limitations of conventional cineangiography. In addition to the diagnostic challenge, the condition poses a major therapeutic dilemma given paucity of literature to guide management. We report the case of a 55-year-old woman, who presented with acute coronary syndrome. Coronary angiography at the time of the index hospitalization revealed type 2 SCAD. She was managed conservatively. Repeat coronary angiography three months later showed complete resolution of the previously noted dissection. Because of the high association between SCAD and fibromuscular dysplasia (FMD), a cross-sectional imaging was performed in this case, which ruled out underlying FMD. The patient has been followed longitudinally since her index event and has had no reported recurrences.
Keywords
Publication details
- DOI
- 10.5001/omj.2017.65
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Al Naabi, H., & Al-Lawati, H. (2017). Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes. Oman Medical Journal. https://doi.org/10.5001/omj.2017.65
MLA 9
Al Naabi, Hanan, and Hatim Al-Lawati. "Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes." Oman Medical Journal, 2017. https://doi.org/10.5001/omj.2017.65.
Chicago (author–date)
Al Naabi, Hanan, and Hatim Al-Lawati. 2017. "Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes." Oman Medical Journal. https://doi.org/10.5001/omj.2017.65.
Harvard
Al Naabi, H. and Al-Lawati, H. (2017) 'Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes', Oman Medical Journal. doi:10.5001/omj.2017.65.
Vancouver
Al Naabi H, Al-Lawati H. Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes. Oman Medical Journal. 2017. doi:10.5001/omj.2017.65
IEEE
H. Al Naabi, and H. Al-Lawati, "Spontaneous Coronary Artery Dissection: An Under-recognized Cause of Acute Coronary Syndromes," Oman Medical Journal, 2017, doi: 10.5001/omj.2017.65.