Key result
PCI and medical therapy successfully treat a 28-year-old SCAD patient with apical thrombus and stroke.
Case Report (n=1)
No
This case report describes the successful treatment of a young male with SCAD complicated by STEMI and recent stroke using angioplasty and subsequent triple antithrombotic therapy.
Answers are grounded in this paper and cite their sources.
Supports cautious PCI use in rare SCAD cases with stroke; leaves open optimal regimens pending prospective data.
Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this syndrome. Here we present a 28-year-old male with 1 month history stroke but no any chronic disease as well family history of heart disease who presented with 2 days' duration of typical cardiac chest pain. Based on an emergency electrocardiogram that showed biphasic T-wave inversion with ST-elevation myocardial infarction, the patient was taken to the a catheterization laboratory(cath-lab), with the result of spontaneous coronary artery dissection of the left anterior dissenting artery with thrombolysis in myocardial infarction flow grade 0 and normal of other vessels. Then we successfully did angioplasty, and the patient was discharged with aspirin 100 mg 1 × 1, clopidogrel 75 mg 1 × 1, and rivaroxaban 20 mg 1 × 1.
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Ahmed et al. (2022) conducted a case report in Spontaneous coronary artery dissection (SCAD) complicated by apical thrombus and acute ischemic stroke (n=1). Percutaneous coronary intervention (PCI) and medical therapy was evaluated. Percutaneous coronary intervention and medical therapy successfully treated a 28-year-old male with spontaneous coronary artery dissection complicated by apical thrombus and stroke.
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