Abstract
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction in the young which can be life threatening. The clinical presentation is wide, ranging from simple chest pain to sudden death. Asymptomatic spontaneous coronary dissection is extremely rare. We present a case of asymptomatic spontaneous coronary artery dissection which was managed conservatively; we also review the literature and various treatment options.
Highlights
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction in the young which can be life threatening
We present a case of asymptomatic spontaneous coronary artery dissection which was managed conservatively; we review the literature and various treatment options
We present a case of asymptomatic SCAD which was managed conservatively; we review the literature and various treatment options
Summary
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction in the young which can be life threatening. It commonly involves a single coronary vessel. A dobutamine stress echocardiogram showed augmentation consistent with hibernating myocardium, except the inferior wall She was not considered for coronary artery bypass (CABG) as she did not have technically favorable targets due to a small circumflex artery and unknown extent of dissection of the LAD. Echocardiogram performed 3 months later showed no improvement in the LVEF was symptomatic with shortness of breath She is being considered for (automated intracardiac device) AICD placement with thoughts of future for heart transplantation should her systolic dysfunction remain severely depressed
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
