Skip to content
DraconiticResearch
Search Sources API
203,203 studies31 sourcesUpdated 19 min ago
Peer-reviewedCC BYCase reports in cardiology

Recurrent Spontaneous Coronary Artery Dissection.

  • Harvey Nguyen1
  • Paarth Sharma1
  • Nicholas Berg2
  • Saurav Uppal3
  1. 1Internal Medicine Resident Department of Internal Medicine Summa Health Hospital Akron Ohio USA.
  2. 2Cardiovascular Fellow Summa Health Hospital Akron Ohio USA.
  3. 3Interventional Cardiology Summa Health Hospital Akron Ohio USA.
Read full textPDFDOICite

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognized cause of acute coronary syndrome (ACS) and sudden cardiac death. It has been associated with several predisposing factors, including hormone replacement therapy, autoimmune disorders, fibromuscular dysplasia (FMD), connective tissue diseases, atherosclerosis, migraine, pregnancy, and the postpartum period. SCAD most commonly affects young to middle-aged women who present with acute myocardial infarction (MI) despite the absence of traditional atherosclerotic risk factors. Coronary angiography remains the gold standard for diagnosis, allowing visualization of the characteristic dissection patterns within the coronary vessel wall. Management is typically conservative as spontaneous healing of the dissection is common; however, revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) may be necessary in patients with hemodynamic instability, ongoing ischemia, or failure of medical therapy.

Related

  1. Spontaneous coronary artery dissection presenting as myocardial infarction in a postmenopausal woman
    Szymon Glanowski, Aleksandra Sowińska, Łukasz Niewiara +3
    Postepy w kardiologii interwencyjnej = Advances in interventional cardiologyPeer-reviewedCC BY-NC-SAFull textCardiovascular medicineEurope PMCPMC
  2. Double-Vessel Involvement: A Case Report of Simultaneous Left Anterior Descending Artery (LAD) and Right Coronary Artery (RCA) Spontaneous Coronary Artery Dissection Causing Acute Coronary Syndrome
    Fawad Qadir, Ali Hadi, Omar M Alhatou +2
    CureusPeer-reviewedCC BYFull textCardiovascular medicineEurope PMCEurope PMCPMC
  3. Acute and Chronic Management of Spontaneous Coronary Artery Dissection
    Ken Kato, Kayo Yamamoto, Ko Miyakoda +5
    Circulation JournalPeer-reviewedCC BY-NC-NDFull text2 citedCardiovascular medicineJ-STAGE
  4. Postoperative spontaneous coronary artery dissection after major abdominal oncological surgery: a case report
    Lamia S Alsubaie, Hesham Saida, Nayef Alzahrani
    Journal of Surgical Case ReportsPeer-reviewedCC BY 4.0Full textCardiovascular medicinePMC
  5. Postpartum Left Main Spontaneous Coronary Artery Dissection With Shock, Requiring Surgery and Extracorporeal Membrane Oxygenation.
    Mona Al Somali, Rahul Gandhi, Syeda Nitasha Yousaf +3
    JACC. Case reportsPeer-reviewedCC BY-NC-NDFull textCardiovascular medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{nguyen2026recurrent,
  title = {{Recurrent Spontaneous Coronary Artery Dissection.}},
  author = {Harvey Nguyen and Paarth Sharma and Nicholas Berg and Saurav Uppal},
  journal = {Case reports in cardiology},
  year = {2026},
  month = nov,
  doi = {10.1155/cric/3374538},
  url = {https://europepmc.org/article/MED/42968885},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Recurrent Spontaneous Coronary Artery Dissection.
AU  - Harvey Nguyen
AU  - Paarth Sharma
AU  - Nicholas Berg
AU  - Saurav Uppal
PY  - 2026
DA  - 2026/11/01
JO  - Case reports in cardiology
DO  - 10.1155/cric/3374538
UR  - https://europepmc.org/article/MED/42968885
AB  - Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognized cause of acute coronary syndrome (ACS) and sudden cardiac death. It has been associated with several predisposing factors, including hormone replacement therapy, autoimmune disorders, fibromuscular dysplasia (FMD), connective tissue diseases, atherosclerosis, migraine, pregnancy, and the postpartum period. SCAD most commonly affects young to middle-aged women who present with acute myocardial infarction (MI) despite the absence of traditional atherosclerotic risk factors. Coronary angiography remains the gold standard for diagnosis, allowing visualization of the characteristic dissection patterns within the coronary vessel wall. Management is typically conservative as spontaneous healing of the dissection is common; however, revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) may be necessary in patients with hemodynamic instability, ongoing ischemia, or failure of medical therapy.
SN  - 2090-6404
SN  - 2090-6412
ER  -