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Akgul A, Gursoy M, Bakuy V, Komurcu G, Caglar IM, Gulmaliyev J (2013) Spontaneous triple coronary artery dissection. Ann Thorac Surg 95(4):1443-1445.

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Article

Six-Vessel Spontaneous Coronary Artery Dissection and Vertebral Artery Dissection in Fibromuscular Dysplasia

1Department of Cardiology, Sanford Heart Hospital, University of South Dakota Sanford school of Medicine, Sioux Falls, SD, USA

2Department of Internal Medicine, University of South Dakota Sanford school of Medicine, Sioux Falls, SD, USA


American Journal of Medical Case Reports. 2016, Vol. 4 No. 2, 55-57
DOI: 10.12691/ajmcr-4-2-6
Copyright © 2016 Science and Education Publishing

Cite this paper:
Amornpol Anuwatworn, Kashif Abbas Shaikh, Maheedhar Gedela, Amol Raizada, Marian Petrasko. Six-Vessel Spontaneous Coronary Artery Dissection and Vertebral Artery Dissection in Fibromuscular Dysplasia. American Journal of Medical Case Reports. 2016; 4(2):55-57. doi: 10.12691/ajmcr-4-2-6.

Correspondence to: Amornpol  Anuwatworn, Department of Cardiology, Sanford Heart Hospital, University of South Dakota Sanford school of Medicine, Sioux Falls, SD, USA. Email: aanuwatworn@gmail.com

Abstract

Fibromuscular dysplasia is a non-inflammatory and non-atherosclerotic arteriopathy commonly affecting medium-size renal, carotid, and vertebral arteries. Involvement of the coronary artery is very rare but may cause life-threatening spontaneous dissection. Because it is rare, this disease may go unrecognized. A unique angiographic finding of non-coronary arteries can make an early diagnosis, and prompt treatment is paramount. In this paper, we report on a multiple vessel coronary artery dissection in a female patient who presented with acute stroke symptoms secondary to spontaneous dissection of the left vertebral artery. To date, this is the first case report of the spontaneous dissection of six branches of coronary arteries and the vertebral artery due to fibromuscular dysplasia.

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