Multiple recurrences of spontaneous coronary artery dissection in a woman with fibromuscular dysplasia

Catheter Cardiovasc Interv. 2019 Nov 1;94(5):702-705. doi: 10.1002/ccd.28301. Epub 2019 Apr 29.

Abstract

A 54-year-old woman with no prior coronary artery disease or cardiac risk factors was diagnosed with spontaneous coronary artery dissection (SCAD) after presenting with an acute coronary syndrome. Over the next 5 years, she experienced four more episodes of SCAD, involving different coronary artery distributions, with evidence of complete angiographic healing following conservative management with antiplatelet therapy and beta-blockade.

Keywords: ACS-ACS/NSTEMI; ANCO-angiography; CAD-coronary artery disease; coronary.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / etiology
  • Adrenergic beta-Antagonists / therapeutic use
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / drug therapy
  • Coronary Vessel Anomalies / etiology*
  • Female
  • Fibromuscular Dysplasia / complications*
  • Fibromuscular Dysplasia / diagnostic imaging
  • Fibromuscular Dysplasia / drug therapy
  • Humans
  • Middle Aged
  • Platelet Aggregation Inhibitors / therapeutic use
  • Recurrence
  • Treatment Outcome
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / drug therapy
  • Vascular Diseases / etiology

Substances

  • Adrenergic beta-Antagonists
  • Platelet Aggregation Inhibitors

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous