Author/Authors :
Kalinskaya, A. Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov - Clinical Hospital Named After I.V. Davidovsky, Moscow, Russia , Skrypnik, D. Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov - Clinical Hospital Named After I.V. Davidovsky, Moscow, Russia , Kostin, A. Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov - Clinical Hospital Named After I.V. Davidovsky, Moscow, Russia , Vasilieva, E. Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov - Clinical Hospital Named After I.V. Davidovsky, Moscow, Russia , Shpektor, A. Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov - Clinical Hospital Named After I.V. Davidovsky, Moscow, Russia
Abstract :
Background. Spontaneous coronary artery dissection (SCAD) is an underdiagnosed and rare cause of myocardial infarction (MI).
SCAD is defined as the separation of the coronary artery wall by hemorrhage with or without intimal tear. It causes acute coronary
syndrome in 1.7% to 4% of cases. Case Summary. We report a case of a patient with acute MI caused by SCAD with marked
progression of dissection within 4 days and spontaneous healing in 2 months. Fibromuscular dysplasia (FMD) of the arteries is
an associated condition of SCAD that was found in our patient. Conclusion. In young women admitted to the clinic with signs
of acute myocardial infarction, SCAD should be suspected. FMD as an associated condition that should be ruled out in every
SCAD patient. Conservative treatment of SCAD is the most preferable strategy
