Chamidi SiriwardaneInstitute of Cardiology, National Hospital of Sri Lanka, Srilanka
Title: Spontaneous Coronary Artery Dissection: a typical and an atypical presentation
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and sudden cardiac death. It is more common in younger females without major risk factors for obstructive coronary artery disease. In most cases, an associated predisposing arterial disease or cause is identified such as connective tissue disease, OCP or postpartum state. Coronary angiography remains the cornerstone of diagnosis. Based on the clinical characteristics, treatment should be individualized as to Conservative approach or mechanical revascularization. The present two cases report a young female who presented with an anterior STEMI and a young male who admitted with a left ventricular thrombus. Coronary angiogram of both cases revealed spontaneous coronary artery dissection in the left anterior descending artery.
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