Spontaneous left main coronary artery dissection occurred in a young male: a case report and review of literature

BMC Cardiovasc Disord. 2022 Jun 7;22(1):256. doi: 10.1186/s12872-022-02642-5.

Abstract

Background: Spontaneous coronary artery dissection (SCAD) is now recognized as an important cause of acute coronary syndrome (ACS), which is thought to be more prevalent in women. However, the male patients, on the other hand, cannot be easily ignored.

Case presentation: A 26-year-old male suffered from SCAD that occurred in the left main coronary artery (LMCA) and a secondary acute myocardial infraction (AMI). Coronary CT angiography and coronary angiography (CAG) revealed aneurysms in the LMCA and right coronary artery (RCA), as well as a total occlusion in the proximal branch of the left anterior descending artery (LAD). Along with drug therapy, coronary artery bypass graft (CABG) surgery was recommended, and the patient has been symptom-free for one year.

Conclusion: We report a case of spontaneous left main coronary artery dissection that occurred in a young male. The necessity of identifying typical imaging features and following up patients with SCAD for life to reduce the risk of fatal cardiac complications cannot be overstated.

Keywords: Acute myocardial infraction; Case report; Left main coronary artery; Spontaneous coronary artery dissection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Coronary Angiography
  • Coronary Vessel Anomalies* / complications
  • Coronary Vessel Anomalies* / diagnostic imaging
  • Coronary Vessel Anomalies* / therapy
  • Female
  • Humans
  • Male
  • Vascular Diseases* / congenital
  • Vascular Diseases* / diagnostic imaging
  • Vascular Diseases* / etiology
  • Vascular Diseases* / therapy

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous