Highlights that spontaneous coronary artery dissection can occur in male patients with atherosclerotic coronary disease and prior PCI, not just in young women without traditional risk factors.
SCAD should be considered in men with atherosclerotic CAD and prior PCI; this case extends the phenotype beyond young women but remains hypothesis-generating.
Spontaneous coronary artery dissection is a rare cause of acute ischemic coronary events and sudden cardiac death. It usually occurs in young women without traditional risk factors for coronary artery disease during pregnancy or postpartum period. However, it has also been reported in patients with atherosclerotic coronary disease. We present a case of spontaneous right coronary artery dissection in a 48-year male with recent myocardial infarction and previous percutaneous coronary intervention.
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Paraskevaidis et al. (2010) studied this question.
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