Key result
Rare concurrent spontaneous LAD and left ICA dissection suggests possible congenital vessel pathology.
Why the study?
Spontaneous coronary artery dissection associated with dissection of the internal carotid artery is exceptional, prompting discussion of its clinical presentation, management, pathogenesis, and predisposing factors.
Case Report (n=1)
Concurrent dissection of the coronary and internal carotid arteries is a rare entity that suggests an underlying congenital vascular pathology.
Rare concurrent coronary-carotid dissections in young adults merit clinical vigilance; hypothesis-generating for congenital vasculopathy, requiring prospective confirmation.
<ns4:p> <ns4:bold>Introduction</ns4:bold> <ns4:bold>:</ns4:bold> Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome (ACS), generally affecting young or middle-aged women and people with few conventional atherosclerosis risk factors. Its association with dissection of the internal carotid artery is exceptional. Through our observation of a concomitant spontaneous coronary and carotid dissection, we discuss its clinical presentation, therapeutic management, pathogenesis and factors favouring its occurrence. </ns4:p> <ns4:p> <ns4:bold>Case:</ns4:bold> We report the case of a 34-year-old man admitted to emergency with a segment elevation myocardial infarction (STEMI). The patient developed right hemiplegia and aphasia. Cerebral CT revealed a left ischaemic stroke in the anterior junctional territory, and CT angiography of the supra-aortic arteries revealed a dissection of the left internal carotid artery. However, CT angiography of the aorta revealed no abnormalities. Coronary angiography performed after 48 hours showed a dissection of the anterior inter-ventricular artery. </ns4:p> <ns4:p> <ns4:bold>Conclusions:</ns4:bold> Concurrent dissection of the coronary and internal carotid arteries with an uninjured aorta is a rare entity. This association suggests a congenital pathology of the vessels such as Marfan's disease or Ehlers-Danlos syndrome. </ns4:p>
No takes yet. Share an insight, caveat, or question.
Laajimi et al. (2023) conducted a case report in Concomitant spontaneous coronary and carotid dissection (n=1). Concomitant spontaneous coronary and carotid dissection was evaluated. A 34-year-old man presented with a rare concurrent spontaneous dissection of the anterior inter-ventricular artery and left internal carotid artery, suggesting a possible congenital vessel pathology.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: