Key result
Angiographic FMD screening in a SCAD patient reveals a massive renal artery aneurysm requiring surgery.
Case Report (n=1)
This case underscores the clinical necessity of routine angiographic screening for fibromuscular dysplasia in patients presenting with spontaneous coronary artery dissection.
May prompt broader vascular imaging in SCAD; single case leaves open whether routine FMD screening improves outcomes.
Spontaneous coronary artery dissection (SCAD) is an increasingly recognised cause of acute coronary syndrome predominantly affecting women (>90% of cases) that is frequently associated with other arteriopathies, such as fibromuscular dysplasia (FMD) and migraine. We present a case of multi-vessel SCAD in a woman in her 40s presenting with myocardial infarction in whom incidental widespread FMD was found, including a massive right renal artery aneurysm requiring ex vivo resection, repair and autotransplantation. The case underscores the need for routine angiographic screening for FMD, which has a shared genetic risk with SCAD, and is associated with aneurysms, stenoses and hypertension.
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McGrath‐Cadell et al. (2025) conducted a case report in Spontaneous coronary artery dissection (SCAD) and fibromuscular dysplasia (FMD) (n=1). Angiographic screening for fibromuscular dysplasia was evaluated. Angiographic screening for fibromuscular dysplasia in a woman with spontaneous coronary artery dissection unmasked a massive right renal artery aneurysm requiring surgical resection.
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