A Case of Spontaneous Coronary Artery Dissection Complicated by Free Wall Rupture

Can J Cardiol. 2017 Dec;33(12):1736.e13-1736.e15. doi: 10.1016/j.cjca.2017.09.021. Epub 2017 Oct 6.

Abstract

Spontaneous coronary artery dissection (SCAD) is an unusual and underdiagnosed cause of nonatherosclerotic acute coronary syndrome (ACS). Patients might present in various ways including chest pain, ST-elevation ACS, ventricular arrhythmia, and sudden cardiac death. In a few reports, it manifested initially as cardiac tamponade. The association of SCAD with free wall rupture is extremely rare. We present a unique case of a 70-year-old woman who initially presented with non-ST elevation ACS and was found to have SCAD on angiography, which was subsequently complicated by cardiac tamponade with free wall rupture.

Publication types

  • Case Reports
  • Video-Audio Media
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Coronary Syndrome / diagnosis
  • Acute Coronary Syndrome / etiology*
  • Aged
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology*
  • Coronary Angiography
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnosis
  • Electrocardiography
  • Female
  • Heart Rupture / complications*
  • Heart Rupture / diagnosis
  • Heart Ventricles*
  • Humans
  • Vascular Diseases / complications
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnosis

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous