SPONTANEOUS CORONARY ARTERY DISSECTION IN THE LEFT MAIN CORONARY ARTERY: A CASE REPORT

Year 2022, Volume: 13 Issue: 1, 13 - 15, 08.03.2022

Tuncay Güzel , Adem Aktan

https://doi.org/10.33706/jemcr.988402

Abstract

Introduction: Spontaneous coronary artery dissection (SCAD) can be defined as epicardial coronary artery dissection, which is not associated with trauma, atherosclerosis, or iatrogenesis. It is known that its incidence increases in the presence of some risk factors.
Case Report: We identified a young to middle-aged female patient with no risk factors other than a history of drug use, presenting with spontaneous left main coronary artery dissection, and undergoing percutaneous coronary intervention treatment due to high risk characteristics in this case report.
Conclusion: This differential diagnosis should be considered in young women presenting with ECG results suspected of myocardial infarction, along with typical chest pain even though the mean age of SCAD admission has been reported to be 43-52 years. Revascularization strategies should be preferred instead of conservative treatment in patients with high risk features such as ongoing ischemia, recurrent chest pain, left main coronary artery dissection, ventricular arrhythmias, or hemodynamic instability even though adequate and successful results are often obtained with the option of conservative treatment in the presence of SCAD.

Keywords

Spontaneous, Coronary Artery Dissection, Left Main

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