Spontaneous Coronary Artery Dissection in a Woman with a Past Medical History of Subarachnoid Hemorrhage: A Case Report. (2nd November 2017)

• Record Type: Journal Article
• Authors: Bardon, Jean; Picard, Fabien; Barbou, Franck; Varenne, Olivier; Vivien, Benoît
• Is Part Of: Prehospital emergency care. Volume 21:Number 6(2017)
• Page Start: 782
• Page End: 785
• Publication Date: 2017-11-02
• Subjects: spontaneous coronary artery dissection -- cerebral aneurysm -- fibromuscular dysplasia; 362.18
• DOI: 10.1080/10903127.2017.1325953
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: Spontaneous coronary artery dissection (SCAD) is an uncommon disease. We report the case of a 50 year-old woman with a past medical history of aneurysmal subarachnoid hemorrhage, presenting with acute chest pain and diffuse ST segment elevation on ECG. Coronary angiogram revealed a SCAD of the left anterior descending coronary artery. The association between cerebral aneurysms and SCAD should trigger providers concern for fibromuscular dysplasia. We hereby report on a rare and atypical case involving the relationship between fibromuscular dysplasia and SCAD.