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Case Reports
. 2022 Apr;13(4):163-167.
doi: 10.14740/jmc3909. Epub 2022 Mar 25.

Unusual Finding of Type 1 and Type 2 Spontaneous Coronary Artery Dissection in a Multiparous Female: A Case Report

Aditya Patel  1 , Jenna DaCosta  1 , Ruhma Ali  1 , Paul Bellafiore  1 , Muhammad Nadeem  2 , Addi Suleiman  2
Affiliations
Case Reports

Unusual Finding of Type 1 and Type 2 Spontaneous Coronary Artery Dissection in a Multiparous Female: A Case Report

Aditya Patel et al. J Med Cases. 2022 Apr.

Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon disease which can lead to acute coronary syndrome especially in young females. The risk factors associated with SCAD include connective tissue disorder, atherosclerosis, hormonal disturbances, history of physical and emotional stressors. Based on angiographic assessment SCAD is divided into three types. We present a unique case of multiparous female with concomitant type 1 and type 2 angiographic features of SCAD. The patient was started on medical therapy with close follow-up. This case highlights the importance of physician awareness about the occurrence of this rare cardiac condition in a young female without any significant risk factors.

Keywords: Acute coronary syndrome; Angiography; Multiparous female; Spontaneous coronary artery dissection.

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Conflict of interest statement

None to declare.

Figures

Figure 1
Figure 1
Nonspecific T wave abnormalities in the anterior-lateral leads.
Figure 2
Figure 2
Angiographic finding of type 1 (yellow arrow) and type 2 (red arrow) SCAD in left anterior descending (LAD) artery. SCAD: spontaneous coronary artery dissection.
See this image and copyright information in PMC

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