What question did this study set out to answer?

To document an atypical case of acute myocardial infarction caused by simultaneous multivessel spontaneous coronary artery dissection associated with a myocardial bridge in an elderly male.

January 1, 2014World Journal of CardiologyOpen Access

Spontaneous coronary artery dissection as a cause of myocardial infarction

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To document an atypical case of acute myocardial infarction caused by simultaneous multivessel spontaneous coronary artery dissection associated with a myocardial bridge in an elderly male.
Clinical and electrocardiographic evaluation of a 70-year-old male presenting with acute chest pain following acute emotional stress.
Emergent coronary angiography and subsequent percutaneous coronary intervention with stenting.
Angiography revealed concurrent spontaneous coronary artery dissection across two major vessels: the left anterior descending (LAD) and left circumflex (LCx) arteries.
Total occlusion of the LCx artery triggered acute myocardial infarction, while a muscular bridge co-localized at the precise site of the LAD dissection.
Successful percutaneous stenting was achieved across both dissected vessel segments, restoring coronary perfusion.

Structured PICO

Population

A 70-year-old man presenting with acute myocardial infarction due to simultaneous spontaneous coronary artery dissection (SCAD) in the left anterior descending (LAD) and left circumflex (LCx) arteries.

Intervention

Coronary stenting of both LAD and LCx lesions.

Outcome

Procedural success (successful stenting).

This case highlights the rare occurrence of simultaneous SCAD in two coronary arteries and its unusual association with a myocardial bridge in an older male patient.

Discussion

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Implication

Supports feasibility of multivessel SCAD stenting; hypothesis-generating for myocardial bridge association, requiring validation.

Cite This Study

Aytekin Aksakal (2014) studied this question.

synapsesocial.com/papers/6a72c2a835aa2c282ce36c24 https://doi.org/10.4330/wjc.v6.i12.1290

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Spontaneous coronary artery dissection as a cause of myocardial infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Spontaneous coronary artery dissection as a cause of myocardial infarction

Key Points

Structured PICO

Discussion

Implication

Cite This Study

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