Highlights a rare case of spontaneous coronary artery dissection causing out-of-hospital cardiac arrest in a patient with coronary artery ectasia.
Consider SCAD in OHCA with ectasia; single case leaves open whether ectasia predisposes to dissection.
Spontaneous coronary artery dissection is a rare event and only in a few patients has the diagnosis been angiographically confirmed during life. A spontaneous dissection of the right coronary artery was detected as a cause of out-of-hospital cardiac arrest in a patient with coronary artery ectasia.
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Huikuri et al. (1991) studied this question.
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