Key result
Conservative management of multivessel SCAD yields good clinical recovery in a 52-year-old man.
Why the study?
Spontaneous coronary artery dissection is a rare and underrecognized cause of acute coronary syndrome that is predominantly reported in female patients.
Case Report (n=1)
This case highlights that multivessel SCAD, while typically seen in females, can occur in middle-aged men and can be successfully managed conservatively.
May support conservative management of multivessel SCAD in men; leaves open need for prospective data.
Spontaneous coronary artery dissection (SCAD) is a rare but underrecognized cause of acute coronary syndrome. It is mostly reported in female patients. In this report, however, we describe this rare and unique case of multivessel SCAD in a 52-year-old man. He was presented with chest pain, significant elevated cardiac troponin level, and T-wave changes in electrocardiogram. Coronary angiography showed multivessel SCAD involving his circumflex and right coronary arteries. The patient was conservatively managed. He has recovered well and was discharged a week after admission. Coronary angiography is still considered the gold standard for diagnosis of multivessel SCAD. Conservative treatment is recommended in most conditions unless there is a necessity for interventional treatment.
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Dong et al. (2025) conducted a case report in Multivessel Spontaneous Coronary Artery Dissection (SCAD) (n=1). Conservative management was evaluated on Clinical recovery and discharge. Conservative management of multivessel spontaneous coronary artery dissection in a 52-year-old man resulted in good clinical recovery and hospital discharge one week after admission.
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