Key result
A 43-year-old patient with a history of spontaneous coronary dissection presented with acute coronary syndrome due to recurrent coronary dissection.
Why the study?
Spontaneous coronary artery dissection is a rare etiology of ACS with poorly codified management and a risk of recurrence.
Case Report (n=1)
Highlights a rare case of recurrent spontaneous coronary artery dissection presenting as acute coronary syndrome in a male patient.
SCAD in men with ACS warrants diagnostic consideration; leaves optimal management strategies open.
Spontaneous coronary artery dissection is a rare etiology of acute coronary syndrome and falls into the category of myocardial infarction with no obstructive coronary arteries. It occurs mainly in young women with no cardiovascular risk factors. Diagnosis is often made by coronary angiography and sometimes by endocoronary imaging. the association of coronary dissection and ACS is rare, especially in men. The management is poorly codified and depends mainly on the habits of the practitioner, and may be medical, percutaneous or surgical. the outcome is often favorable, but sometimes there is a risk of recurrence with a guarded prognosis. In this context, we report the case of a 43-year-old patient with antecedent spontaneous coronary dissection, admitted to our unit for the management of acute coronary syndrome following recurrent coronary dissection.
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Marraki et al. (2024) conducted a case report in Spontaneous coronary artery dissection and acute coronary syndrome (n=1). A 43-year-old patient with a history of spontaneous coronary dissection presented with acute coronary syndrome due to recurrent coronary dissection.
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