Recurrent Spontaneous Coronary Artery Dissection: A Case of Triple Trouble

Sumit Khurana; Jessica Kaushal; Dhruv Markan; John C Wang; Antony Kaliyadan; Amrit Devkota; Christopher Haas

doi:10.55729/2000-9666.1170

Recurrent Spontaneous Coronary Artery Dissection: A Case of Triple Trouble

J Community Hosp Intern Med Perspect. 2023 Mar 10;13(2):63-67. doi: 10.55729/2000-9666.1170. eCollection 2023.

Authors

Sumit Khurana¹, Jessica Kaushal², Dhruv Markan¹, John C Wang³, Antony Kaliyadan³, Amrit Devkota¹, Christopher Haas⁴

Affiliations

¹ Department of Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, MD, USA.
² Department of Internal Medicine, Bridgeport Hospital and Burn Center, Yale New Haven Health, Bridgeport, CT, USA.
³ MedStar Heart & Vascular Institute, Baltimore, MD, USA.
⁴ Department of Internal Medicine, Georgetown University School of Medicine, Washington, DC, USA.

Abstract

SCAD (Spontaneous Coronary Artery Dissection) is a rare disorder which rarely recurs. It is increasingly diagnosed as a cause for acute coronary syndrome (ACS) with limited insight into its pathophysiology and treatment. Lack of randomized trials and consensus guidelines make this a unique and challenging disease to manage. We describe a complex case of recurrent idiopathic SCAD with prior history of NSTE-ACS (Non-ST elevation Acute Coronary Syndrome) and discuss its management based on current clinical practices.

Keywords: Acute coronary syndrome; Fibromuscular dysplasia; Spontaneous coronary artery dissection; Ventricular fibrillation.

Publication types

Case Reports