Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction

Spontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD...

Full description

Bibliographic Details
Main Authors: Tatsuo Haraki, Ryota Uemura, Shin-ichiro Masuda, Takeshi Lee
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/4109496
id doaj-8fdfe6d805a24cf18f767f3c5676b871
record_format Article
spelling doaj-8fdfe6d805a24cf18f767f3c5676b8712020-11-24T21:00:00ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/41094964109496Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial InfarctionTatsuo Haraki0Ryota Uemura1Shin-ichiro Masuda2Takeshi Lee3Department of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanDepartment of Cardiology, Saitama Eastern Cardiovascular Hospital, 3187-1 Osawa, Koshigaya, Saitama 343-0025, JapanSpontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD. The SCAD had occurred in the distal right coronary artery (RCA), the mid left anterior descending artery (LAD), and the distal LAD at the same time. His culprit lesion was in the distal RCA, but the SCAD had progressed more proximally within the RCA 12 days later with no clinical symptoms. We treated the mid LAD with implantation of a drug-eluting stent on admission and the SCAD had not progressed 12 days later. Moreover, the SCAD in the distal RCA and distal LAD healed spontaneously 12 days later. He had no recurrent attack, and all SCAD lesions of the RCA and LAD had completely healed 6 months later. Given that SCAD appears in various forms over the clinical course, a strategy of intervention needs careful consideration.http://dx.doi.org/10.1155/2016/4109496
collection DOAJ
language English
format Article
sources DOAJ
author Tatsuo Haraki
Ryota Uemura
Shin-ichiro Masuda
Takeshi Lee
spellingShingle Tatsuo Haraki
Ryota Uemura
Shin-ichiro Masuda
Takeshi Lee
Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
Case Reports in Cardiology
author_facet Tatsuo Haraki
Ryota Uemura
Shin-ichiro Masuda
Takeshi Lee
author_sort Tatsuo Haraki
title Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
title_short Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
title_full Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
title_fullStr Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
title_full_unstemmed Progressed Multivessel Spontaneous Coronary Artery Dissection That Naturally Healed in a Male Patient with Non-ST Segment Elevation Myocardial Infarction
title_sort progressed multivessel spontaneous coronary artery dissection that naturally healed in a male patient with non-st segment elevation myocardial infarction
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2016-01-01
description Spontaneous coronary artery dissection (SCAD) is a rare condition that may have a serious outcome because of acute coronary syndrome. The condition especially affects young women. We evaluated a middle-aged male patient with a non-ST segment elevation myocardial infarction caused by multivessel SCAD. The SCAD had occurred in the distal right coronary artery (RCA), the mid left anterior descending artery (LAD), and the distal LAD at the same time. His culprit lesion was in the distal RCA, but the SCAD had progressed more proximally within the RCA 12 days later with no clinical symptoms. We treated the mid LAD with implantation of a drug-eluting stent on admission and the SCAD had not progressed 12 days later. Moreover, the SCAD in the distal RCA and distal LAD healed spontaneously 12 days later. He had no recurrent attack, and all SCAD lesions of the RCA and LAD had completely healed 6 months later. Given that SCAD appears in various forms over the clinical course, a strategy of intervention needs careful consideration.
url http://dx.doi.org/10.1155/2016/4109496
work_keys_str_mv AT tatsuoharaki progressedmultivesselspontaneouscoronaryarterydissectionthatnaturallyhealedinamalepatientwithnonstsegmentelevationmyocardialinfarction
AT ryotauemura progressedmultivesselspontaneouscoronaryarterydissectionthatnaturallyhealedinamalepatientwithnonstsegmentelevationmyocardialinfarction
AT shinichiromasuda progressedmultivesselspontaneouscoronaryarterydissectionthatnaturallyhealedinamalepatientwithnonstsegmentelevationmyocardialinfarction
AT takeshilee progressedmultivesselspontaneouscoronaryarterydissectionthatnaturallyhealedinamalepatientwithnonstsegmentelevationmyocardialinfarction
_version_ 1716780632415141888