Key result
A 45-year-old asymptomatic male was incidentally diagnosed with spontaneous coronary artery dissection involving all three major coronary arteries (LAD, LCX, and RCA) and was managed conservatively.
Why the study?
Spontaneous coronary artery dissection commonly affects a single coronary artery, but the presentation of SCAD involving all three major coronary arteries is not well known.
Case Report (n=1)
No
This case report highlights a rare presentation of spontaneous coronary artery dissection involving all three major coronary arteries (LAD, LCX, RCA) in an asymptomatic patient without conventional risk factors.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and sudden cardiac death. Amongst various etiologies thought to be responsible for this condition, atherosclerosis seems to be the most common. There are various case reports on (SCAD) of single coronary artery but the presence of SCAD of all three arteries is not known. We describe a case of a 45-year-old gentleman without any conventional coronary risk factors, who was referred to us at Tata Main hospital, Jamshedpur, for cardiac evaluation prior to his urethral surgery. Although asymptomatic cardiac-wise, his ECG incidentally revealed healed inferior wall myocardial infarction. Echocardiogram confirmed hypokinetic inferior wall with left ventricular ejection fraction of 50%. His coronary angiography showed spontaneous dissection of LAD, LCX and RCA which was managed conservatively.
No takes yet. Share an insight, caveat, or question.
Kumar et al. (2019) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Conservative management was evaluated. A 45-year-old asymptomatic male was incidentally diagnosed with spontaneous coronary artery dissection involving all three major coronary arteries (LAD, LCX, and RCA) and was managed conservatively.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: