Key result
A 31-year-old male presenting with atypical chest pain was diagnosed with spontaneous coronary artery dissection of the left anterior descending artery and successfully managed conservatively.
Why the study?
SCAD diagnosis and management remain challenging, and only a limited number of cases affecting males have been reported in the literature.
Case Report (n=1)
No
This case report highlights a rare presentation of spontaneous coronary artery dissection (SCAD) in a young male without traditional risk factors, successfully managed with conservative medical therapy.
Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndrome. Despite the recent advances in the management of cardiovascular diseases, the diagnoses and management of SCAD remain a dilemma. It has been described to majorly affect females of childbearing age, immediately post-partum or on oral contraceptives. Recent cases have also identified underlying connective tissue disease as a risk factor. Since its discovery, only a limited number of cases affecting males have been reported in the literature. This makes our case unique. In this, we present a 31-year-old male without any traditional risk factors who presented with atypical chest pain. Electrocardiogram showed ST-segment changes with echocardiogram revealing apical left ventricular akinesis. A diagnostic left heart catheterization showed multiple lumens in the distal left anterior descending artery (LAD). The patient was managed conservatively and discharged home on guideline-directed medical therapy.
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Akhigbe et al. (2021) conducted a case report in Spontaneous Coronary Artery Dissection (SCAD) (n=1). Conservative management (Aspirin, Beta-blockers) was evaluated. A 31-year-old male presenting with atypical chest pain was diagnosed with spontaneous coronary artery dissection of the left anterior descending artery and successfully managed conservatively.
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