Spontan Coronary Artery Dissection: What a Surprise
Gökhan Demirci
, Tuğba Aktemur, Mustafa Yıldız
Department of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
Keywords: Athlete; coronary artery dissection; surgery.
Abstract
Spontaneous coronary artery dissection (SCAD) is a less recognized form of acute coronary syndrome, often observed in young female patients. Knowledge regarding the diagnosis and treatment of SCAD has increased in recent years, yet gaps in treatment persist. Herein, we present the case of an 18-year-old male student, who, without a regular exercise habit, started a football match on a rug without prior warm-up and experienced exertional chest discomfort, leading him to present to the emergency department with crushing chest pain. The patient, with ST elevation noted, underwent angiography, revealing SCAD in the left anterior descending artery. Managed conservatively, the patient was discharged on the 4th day with successful outcomes. Distinguishing between SCAD and coronary artery occlusion can be challenging, particularly in young patients without any medical history. Moreover, conservative treatment can prevent unnecessary percutaneous coronary intervention and potential complications.
Cite This Article: Demirci G, Aktemur T, Yıldız M. Spontan Coronary Artery Dissection: What a Surprise. Koşuyolu Heart J 2024;27(1):60–62.
Written informed consent was obtained from the patient for the publication of the case report and the accompanying images.
Externally peer-reviewed.
Concept – G.D.; Design – M.Y.; Supervision – T.A.; Funding – G.D.; Materials – G.D.; Literature search – G.D.; Writing – T.A.; Critical review – G.D., M.Y
All authors declared no conflict of interest.
Not declared.
The authors declared that this study received no financial support.