Key result
A middle-aged woman with an unremarkable medical history presenting with chest pain was diagnosed with a type 3 spontaneous coronary artery dissection in the left circumflex artery.
Case Report (n=1)
This case highlights that spontaneous coronary artery dissection can present with typical acute coronary syndrome symptoms despite the absence of traditional cardiovascular risk factors.
SCAD should be considered in middle-aged women with ACS and no risk factors; this case leaves open optimal diagnostic and management strategies.
Atherothrombosis is the leading cause of acute coronary syndrome (ACS). Spontaneous coronary artery dissection (SCAD) refers to a nonatherosclerotic lesion involving the tearing and splitting of the coronary wall. The creation of a false lumen and blockage of the true lumen generates an oxygenation mismatch in the myocardial tissue. A middle-aged woman with unremarkable medical history developed chest pain. Uptrending cardiac enzymes and electrocardiogram changes prompted further testing. Coronary angiography showed a type 3 SCAD lesion in the left circumflex artery. SCAD lacks the average risk factors of ACS and its recognition can be delayed. On the other hand, it preserves the typical presentation of ACS.
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Valencia-Manrique et al. (2022) conducted a case report in Spontaneous coronary artery dissection (n=1). Spontaneous coronary artery dissection was evaluated. A middle-aged woman with an unremarkable medical history presenting with chest pain was diagnosed with a type 3 spontaneous coronary artery dissection in the left circumflex artery.
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