Challenges in Diagnosis and Management of Spontaneous Coronary Artery Dissection in a Young Patient

Braz J Cardiovasc Surg. 2019 Dec 1;34(6):779-782. doi: 10.21470/1678-9741-2018-0198.

Abstract

Spontaneous coronary artery dissection (SCAD) is characterized by tear of the inner layer in the coronary artery, creating a false lumen between the inner and central layer. Its infrequent incidence often leads to delay in diagnosis posing challenges in management. There are currently no guidelines for the treatment of this condition. We describe an adult patient who presented with multiple episodes of ventricular fibrillation, in whom cardiac catheterization showed SCAD, treated by off-pump coronary artery bypass.

Keywords: Coronary Artery Bypass; Off Pump - Methods; Vascular Diseases - Diagnosis; Young Adults.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Catheterization
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnostic imaging*
  • Coronary Vessel Anomalies / surgery*
  • Coronary Vessels
  • Echocardiography
  • Electrocardiography
  • Female
  • Humans
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnostic imaging
  • Vascular Diseases / surgery

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous