A case of spontaneous coronary artery dissection with early de novo recurrence

Takafumi Okura; Koji Takahashi; Tomoki Sakaue; Sou Ueda; Daijiro Enomoto; Daichi Yamamoto; Daisuke Sasaki; Taizo Kono; Shigeki Uemura

doi:10.1016/j.jccase.2019.01.006

A case of spontaneous coronary artery dissection with early de novo recurrence

J Cardiol Cases. 2019 May 17;20(1):1-3. doi: 10.1016/j.jccase.2019.01.006. eCollection 2019 Jul.

Authors

Takafumi Okura¹, Koji Takahashi¹, Tomoki Sakaue¹, Sou Ueda², Daijiro Enomoto³, Daichi Yamamoto³, Daisuke Sasaki³, Taizo Kono³, Shigeki Uemura³

Affiliations

¹ Department of Community and Emergency Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.
² Ehime University Hospital, Ehime, Japan.
³ Yawatahama City General Hospital, Ehime, Japan.

Abstract

Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome compared with atherosclerotic plaque rupture and predominantly occurs in young women. SCAD is associated with various conditions, such as emotional stress, pregnancy, hormonal therapy, collagen diseases, fibromuscular dysplasia, or vasospasm. Long-term cardiovascular events are common including the recurrence of SCAD. We report a case of SCAD with de novo recurrence at only 4 days after the first attack. <Learning objectives: Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome (ACS) compared with atherosclerotic plaque rupture, but if young to middle-aged women develop ACS, a high suspicion of SCAD is warranted. Recurrence of SCAD is common with 4- to 10-year follow-up. However, SCAD recurred early as in our case.>.

Keywords: Acute coronary syndrome; De novo recurrence; Hormonal therapy; Spontaneous coronary artery dissection.

Publication types

Case Reports