Key result
Conservative management yields rapid SCAD healing on CTA within ~5 hours.
Why the study?
Little is known about characteristics, treatment, and follow-up of patients with spontaneous coronary artery dissection (SCAD).
Case Report (n=1)
Suggests possible ultra-early SCAD healing; hypothesis-generating and should not yet change conservative management.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and little is known about characteristics, treatment, and follow-up of patients with SCAD. Computed tomography angiography (CTA) plays an important role in the diagnosis and management of SCAD. Herein, we describe a case of a patient with SCAD who underwent successful conservative management, and in whom CTA was able to detect rapid healing of the dissection, 4.5 hours post-dissection.
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Sakai et al. (2018) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Conservative management with intra-aortic balloon pumping (IABP) and medical therapy was evaluated on Vessel healing of spontaneous coronary artery dissection. In a 42-year-old man with spontaneous coronary artery dissection, computed tomography angiography detected rapid vessel healing 4.5 hours post-dissection following conservative management.
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