Angiographic screening for fibromuscular dysplasia in a woman with spontaneous coronary artery dissection unmasked a massive right renal artery aneurysm requiring surgical resection.
Case Report (n=1)
This case underscores the clinical necessity of routine angiographic screening for fibromuscular dysplasia in patients presenting with spontaneous coronary artery dissection.
Spontaneous coronary artery dissection (SCAD) is an increasingly recognised cause of acute coronary syndrome predominantly affecting women (>90% of cases) that is frequently associated with other arteriopathies, such as fibromuscular dysplasia (FMD) and migraine. We present a case of multi-vessel SCAD in a woman in her 40s presenting with myocardial infarction in whom incidental widespread FMD was found, including a massive right renal artery aneurysm requiring ex vivo resection, repair and autotransplantation. The case underscores the need for routine angiographic screening for FMD, which has a shared genetic risk with SCAD, and is associated with aneurysms, stenoses and hypertension.
McGrath‐Cadell et al. (Sat,) conducted a case report in Spontaneous coronary artery dissection (SCAD) and fibromuscular dysplasia (FMD) (n=1). Angiographic screening for fibromuscular dysplasia was evaluated. Angiographic screening for fibromuscular dysplasia in a woman with spontaneous coronary artery dissection unmasked a massive right renal artery aneurysm requiring surgical resection.