This case highlights that patients with fibromuscular dysplasia can experience multiple recurrences of SCAD in different territories, which may still heal completely with conservative medical therapy.
A 54-year-old woman with no prior coronary artery disease or cardiac risk factors was diagnosed with spontaneous coronary artery dissection (SCAD) after presenting with an acute coronary syndrome. Over the next 5 years, she experienced four more episodes of SCAD, involving different coronary artery distributions, with evidence of complete angiographic healing following conservative management with antiplatelet therapy and beta-blockade.
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Yeung et al. (2019) studied this question.
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