Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

Abdel R Al Emam; Haysam Akkad; Majid Asawaeer; Vincent Pompili

doi:10.2174/1573403X15666190513101614

Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

Curr Cardiol Rev. 2021;17(4):e310521172093. doi: 10.2174/1573403X15666190513101614.

Authors

Abdel R Al Emam¹, Haysam Akkad¹, Majid Asawaeer¹, Vincent Pompili¹

Affiliation

¹ Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE 68198-2265, United States.

Abstract

Background: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women.

Case presentation: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome.

Conclusion: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.

Keywords: MRI.; STEMI; Spontaneous coronary artery dissection; coronary angiography; left anterior descending; percutaneous intervention.

Publication types

Case Reports

MeSH terms

Adult
Coronary Angiography
Coronary Vessel Anomalies* / diagnosis
Coronary Vessel Anomalies* / diagnostic imaging
Dissection
Female
Humans
Percutaneous Coronary Intervention*
Recurrence
ST Elevation Myocardial Infarction* / diagnostic imaging
ST Elevation Myocardial Infarction* / etiology
Vascular Diseases* / diagnostic imaging