Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges

Spontaneous coronary artery dissection is a rare cause of unstable angina, myocardial infarction, and sudden cardiac death, particularly among young women and individuals without conventional atherosclerotic risk factors. We present the case of a 43-year-old woman who had spontaneous coronary artery...

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Main Authors: Constantin Andrei Rusali, Lucia Cojocaru, Ioana Caterina Lupu, Cezar-Dan Uzea, Maria Lavinia Rusali
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/1/61
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author Constantin Andrei Rusali
Lucia Cojocaru
Ioana Caterina Lupu
Cezar-Dan Uzea
Maria Lavinia Rusali
author_facet Constantin Andrei Rusali
Lucia Cojocaru
Ioana Caterina Lupu
Cezar-Dan Uzea
Maria Lavinia Rusali
author_sort Constantin Andrei Rusali
collection DOAJ
description Spontaneous coronary artery dissection is a rare cause of unstable angina, myocardial infarction, and sudden cardiac death, particularly among young women and individuals without conventional atherosclerotic risk factors. We present the case of a 43-year-old woman who had spontaneous coronary artery dissection involving the left main with extension to left anterior descending artery and left circumflex artery. She was ultimately managed medically, with a good outcome. Spontaneous coronary artery dissection is a unique and intricate condition that demands advanced diagnostic techniques and tailored management strategies. Greater awareness and advancements in imaging technologies have enhanced the detection and understanding of spontaneous coronary artery dissection. However, continued research is crucial to resolving outstanding uncertainties and optimizing patient outcomes.
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institution Kabale University
issn 2075-4418
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publishDate 2024-12-01
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series Diagnostics
spelling doaj-art-8bf98d8a65754b0a98ee118ed55370792025-01-10T13:16:36ZengMDPI AGDiagnostics2075-44182024-12-011516110.3390/diagnostics15010061Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management ChallengesConstantin Andrei Rusali0Lucia Cojocaru1Ioana Caterina Lupu2Cezar-Dan Uzea3Maria Lavinia Rusali4Department of Cardiology, Constanta County Clinical and Emergency Hospital, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, RomaniaDepartment of Cardiology, Constanta County Clinical and Emergency Hospital, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, RomaniaDepartment of Cardiology, Constanta County Clinical and Emergency Hospital, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, RomaniaDepartment of Cardiology, Constanta County Clinical and Emergency Hospital, 145 Tomis Boulevard, 900591 Constanta, RomaniaInternal Medicine Department, Faculty of Medicine, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, RomaniaSpontaneous coronary artery dissection is a rare cause of unstable angina, myocardial infarction, and sudden cardiac death, particularly among young women and individuals without conventional atherosclerotic risk factors. We present the case of a 43-year-old woman who had spontaneous coronary artery dissection involving the left main with extension to left anterior descending artery and left circumflex artery. She was ultimately managed medically, with a good outcome. Spontaneous coronary artery dissection is a unique and intricate condition that demands advanced diagnostic techniques and tailored management strategies. Greater awareness and advancements in imaging technologies have enhanced the detection and understanding of spontaneous coronary artery dissection. However, continued research is crucial to resolving outstanding uncertainties and optimizing patient outcomes.https://www.mdpi.com/2075-4418/15/1/61case reportspontaneous coronary artery dissectioncoronarographyintravascular ultrasoundconservative management
spellingShingle Constantin Andrei Rusali
Lucia Cojocaru
Ioana Caterina Lupu
Cezar-Dan Uzea
Maria Lavinia Rusali
Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
Diagnostics
case report
spontaneous coronary artery dissection
coronarography
intravascular ultrasound
conservative management
title Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
title_full Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
title_fullStr Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
title_full_unstemmed Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
title_short Spontaneous Coronary Artery Dissection Involving the Left Main with Extension to Left Anterior Descending Artery and Left Circumflex Artery: Diagnostic and Management Challenges
title_sort spontaneous coronary artery dissection involving the left main with extension to left anterior descending artery and left circumflex artery diagnostic and management challenges
topic case report
spontaneous coronary artery dissection
coronarography
intravascular ultrasound
conservative management
url https://www.mdpi.com/2075-4418/15/1/61
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