DOI: 10.12890/2023_004027
Multivessel spontaneous coronary artery dissection in the setting of anomalous left coronary arteries
Authors
tcyang@mcw.edu
Keywords
Dissection, anomaly, myocardial infarctionAbstract
Spontaneous coronary artery dissection (SCAD) is an epicardial coronary artery dissection not associated with atherosclerosis or trauma, and is not iatrogenic. The pathogenesis of SCAD is not fully understood, and the association of coronary artery anomalies and SCAD is not known. We present a case of a 64-year-old woman presenting with non-ST-elevation myocardial infarction (NSTEMI) due to have multivessel SCAD in the setting of anomalous origin of the coronary arteries with all three coronary arteries – right coronary artery (RCA), left anterior descending artery (LAD), and left circumflex artery (LCx) originating from the right sinus of Valsalva.
References
- Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, et al. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation 2018;137:e523–e557.
- Pristera N, Chaudhury P, Van Iterson EH, Cho LS. Spontaneous coronary artery dissection: principles of management. Cleve Clin J Med 2021;88:623–630.
- Wurdinger M, Cammann VL, Ghadri JR, Templin C. Spontaneous coronary artery dissection: a rare event? Heart Fail Clin. 2022;18:189–199.
- Mahadevappa N, Singh B, Bhairappa S, Nanjappa M. Spontaneous multivessel coronary artery dissection with anomalous coronary artery. BMJ Case Rep 2013; bcr2012007893.
- Gentile F, Castiglione V, De Caterina R. Coronary artery anomalies. Circulation 2021;144:983–996.
- Karangelis D, Mylonas KS, Loggos S, Adreanides E, Tzifa A, Mitropoulos F. Surgical repair of anomalous aortic origin of coronary artery in adults. Asian Cardiovasc Thorac Ann 2021;29:51–58.
- Tso JV, Cantu SM, Kim JH. Case series of coronary artery anomalies in athletes: challenges in clinical management and sports eligibility. JACC Case Rep 2002;4:1074–1079.
- Lebrun S, Bond RM. Spontaneous coronary artery dissection (SCAD): the underdiagnosed cardiac condition that plagues women. Trends Cardiovasc Med 2018;28:340–345.
- Kim CW, Frishman WH, Aronow WS. Spontaneous coronary artery dissection: review of possible pathophysiological risk factors. Cardiol Rev 2023; doi: 10.1097/CRD.0000000000000477
- Perez J, Lepelley M, Revol B, Roustit M, Cracowski JL, Khouri C. Triptans and SCAD: an analysis from the WHO pharmacovigilance database. J Am Coll Cardiol 2021;78:2129–2130.
- Dimitrova IN, Gaydarski L, Landzhov B, Olewnik L, Zielinska N, Tubbs RS, et al. Variant origin of three main coronary ostia from the right sinus of Valsalva: report of a rare case. Folia Morphol (Warsz) 2022; doi: 10.5603/FM.a2022.0092
- Patel KB, Gupta H, Nath H, Aqel RA, Zoghbi GJ, Soto B, et al. Origin of all three major coronary arteries from the right sinus of Valsalva: clinical, angiographic, and magnetic resonance imaging findings and incidence in a select referral population. Catheter Cardiovasc Interv 2007;69:711–71
- Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28–40.
- Yamamoto M, Tsujita K, Yamanaga K, Komura N, Sakamoto K, Kojima S, et al. ST-segment elevation myocardial infarction in a patient with anomalous origin of left circumflex coronary artery. J Cardiol Cases 2015;11:120–123.