Successful treatment of a late presentation exercise-induced spontaneous left anterior descending artery dissection

J Invasive Cardiol. 2011 Nov;23(11):E260-2.


Spontaneous coronary artery dissection is an unusual condition that mainly happens in fit and healthy women in the peripartum period. Strenuous exercise is a rare cause of dissection in angiographically normal coronary arteries. There is no definitive consensus on the etiology, prognosis and treatment of SCAD. We report a case of successful treatment of a late presentation of a coronary artery dissection secondary to intense physical activity in a 48 year old cyclist who continued to cycle for 3 months post event.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary / methods*
  • Bicycling*
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / etiology*
  • Coronary Artery Disease / therapy*
  • Drug-Eluting Stents*
  • Everolimus
  • Exercise*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Rupture, Spontaneous / diagnostic imaging
  • Rupture, Spontaneous / etiology
  • Rupture, Spontaneous / therapy
  • Sirolimus / analogs & derivatives
  • Treatment Outcome
  • Ultrasonography, Interventional


  • Everolimus
  • Sirolimus