American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2020, 8(9), 274-276
DOI: 10.12691/ajmcr-8-9-5
Open AccessCase Report

Spontaneous Coronary Artery Dissection Treated Conservatively in a Non-pregnant Patient: A Case Report

Jonathan Francois1, Sostanie Takota Enoru1, Joseph Casillas1, Dommalur Jayaranagaiah2, Pramod Theetha Kariyanna1, Ishmam Ibtida1, Moro O. Salifu1 and Samy I. McFarlane1,

1Department of Internal Medicine, SUNY-Downstate-Health Science University, Brooklyn, New York, United States- 11203

2Department of Medicine, Milton Cato Memorial Hospital, Kingstown, Saint Vincent and the Grenadines, VC0130

Pub. Date: May 29, 2020

Cite this paper:
Jonathan Francois, Sostanie Takota Enoru, Joseph Casillas, Dommalur Jayaranagaiah, Pramod Theetha Kariyanna, Ishmam Ibtida, Moro O. Salifu and Samy I. McFarlane. Spontaneous Coronary Artery Dissection Treated Conservatively in a Non-pregnant Patient: A Case Report. American Journal of Medical Case Reports. 2020; 8(9):274-276. doi: 10.12691/ajmcr-8-9-5

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction (MI) and it is greatly misdiagnosed. If not recognized, SCAD carries a high in-hospital mortality rate. It is most commonly seen in females during the peripartum period, individuals with atherosclerotic disease and/or connective tissue disorders. In this report we present a case of 55 years old non-pregnant female without history coronary artery disease (CAD), who presented with squeezing chest pain, ST segment elevation on electrocardiogram (ECG) and negative cardiac markers. Subsequently coronary angiogram (CAG) revealed dissection of the left anterior descending artery (LAD) with 100% stenosis. Due to high risk of perforation it was decided to treat the patient conservatively and subsequently she was discharged home with no complications. In this report, we demonstrated that early recognition of SCAD and conservative management, in a non-pregnant patient, can lead to decreases in-hospital complications and favorable outcomes.

Keywords:
spontaneous coronary dissection acute coronary syndrome non-pregnant female

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