Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery

Guson Kang; Ashish Sarraju; Takeshi Nishi; Ian Rogers; Jennifer A Tremmel; Juyong Brian Kim

doi:10.1016/j.jaccas.2019.11.061

Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery

JACC Case Rep. 2020 Jan 15;2(1):45-50. doi: 10.1016/j.jaccas.2019.11.061. eCollection 2020 Jan.

Authors

Guson Kang¹, Ashish Sarraju¹, Takeshi Nishi¹, Ian Rogers¹, Jennifer A Tremmel¹, Juyong Brian Kim¹

Affiliation

¹ Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California.

Abstract

Spontaneous coronary artery dissection is an increasingly recognized cause of acute coronary syndrome in younger patients. Management remains challenging and involves weighing the benefits of revascularization with the potential to worsen the dissection. We present a case of spontaneous coronary artery dissection with the superimposed complexity of an anomalous intramural coronary artery. (Level of Difficulty: Intermediate.).

Keywords: AAOCA, anomalous aortic origin of a coronary artery; IVUS, intravascular ultrasonography; LVEF, left ventricular ejection fraction; OCT, optical coherence tomography; PCI, percutaneous coronary intervention; SCAD, spontaneous coronary artery dissection; anomalous coronary artery; intravascular ultrasonography; myocardial infarction; percutaneous coronary intervention; spontaneous coronary artery dissection.

Publication types

Case Reports