Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
Spontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/4109496 |
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| author | Tatsuo Haraki Ryota Uemura Shin-ichiro Masuda Takeshi Lee |
| author_facet | Tatsuo Haraki Ryota Uemura Shin-ichiro Masuda Takeshi Lee |
| author_sort | Tatsuo Haraki |
| collection | DOAJ |
| description | Spontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD. The SCAD had occurred in the distal right coronary artery (RCA), the mid left anterior descending artery (LAD), and the distal LAD at the same time. His culprit lesion was in the distal RCA, but the SCAD had progressed more proximally within the RCA 12 days later with no clinical symptoms. We treated the mid LAD with implantation of a drug-eluting stent on admission and the SCAD had not progressed 12 days later. Moreover, the SCAD in the distal RCA and distal LAD healed spontaneously 12 days later. He had no recurrent attack, and all SCAD lesions of the RCA and LAD had completely healed 6 months later. Given that SCAD appears in various forms over the clinical course, a strategy of intervention needs careful consideration. |
| format | Article |
| id | doaj-art-8fdfe6d805a24cf18f767f3c5676b871 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-8fdfe6d805a24cf18f767f3c5676b8712025-08-20T02:09:28ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/41094964109496Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial InfarctionTatsuo Haraki0Ryota Uemura1Shin-ichiro Masuda2Takeshi Lee3Department of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanSpontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD. The SCAD had occurred in the distal right coronary artery (RCA), the mid left anterior descending artery (LAD), and the distal LAD at the same time. His culprit lesion was in the distal RCA, but the SCAD had progressed more proximally within the RCA 12 days later with no clinical symptoms. We treated the mid LAD with implantation of a drug-eluting stent on admission and the SCAD had not progressed 12 days later. Moreover, the SCAD in the distal RCA and distal LAD healed spontaneously 12 days later. He had no recurrent attack, and all SCAD lesions of the RCA and LAD had completely healed 6 months later. Given that SCAD appears in various forms over the clinical course, a strategy of intervention needs careful consideration.http://dx.doi.org/10.1155/2016/4109496 |
| spellingShingle | Tatsuo Haraki Ryota Uemura Shin-ichiro Masuda Takeshi Lee Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction Case Reports in Cardiology |
| title | Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction |
| title_full | Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction |
| title_fullStr | Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction |
| title_full_unstemmed | Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction |
| title_short | Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction |
| title_sort | progressed multivessel spontaneous coronary artery dissection that naturally healed in a male patient with non st segment elevation myocardial infarction |
| url | http://dx.doi.org/10.1155/2016/4109496 |
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