Key result
Aortic valve and root replacement addresses concurrent SCAD and severe aortic dilatation.
Why the study?
SCAD is commonly associated with extracoronary vascular abnormalities, but concomitant presentation of SCAD and severe aortic dilatation had not been previously described.
Case Report (n=1)
Highlights the rare concomitant presentation of SCAD and severe aortic dilatation, emphasizing the need for intravascular imaging and screening for extracoronary arteriopathies.
INTRODUCTION: Spontaneous coronary artery dissection (SCAD) is defined as a non-traumatic, non-iatrogenic, non-atherosclerotic separation of the coronary arterial walls, creating a false lumen. The space created is filled with an intramural haematoma (IMH) that compresses the true arterial lumen, decreasing anterograde blood flow. Spontaneous coronary artery dissection is commonly associated with small and medium sized extracoronary vascular abnormalities. CASE PRESENTATION: This case report describes a case of SCAD presenting as an acute coronary syndrome together with aortic dilatation requiring aortic valve and aortic root replacement. DISCUSSION: Despite the fact that SCAD and aortic dilatation share common aetiologies, this is the first case to our knowledge describing severe aortic dilatation and SCAD presenting concomitantly. This case highlights the importance of confirming the diagnosis of SCAD with intravascular imaging and of investigating for extracoronary arteriopathies.
No takes yet. Share an insight, caveat, or question.
Dingli et al. (2018) conducted a case report in Spontaneous coronary artery dissection and aortic dilatation (n=1). Aortic valve and aortic root replacement was evaluated. A patient presented with spontaneous coronary artery dissection and severe aortic dilatation concomitantly, requiring aortic valve and aortic root replacement.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: