This case demonstrates that angiographic healing after conservatively managed SCAD does not eliminate the risk of recurrence in previously unaffected coronary territories and underscores the diagnostic challenges of Type 4 SCAD in patients with competing causes of myocardial infarction.
BACKGROUND
Spontaneous coronary artery dissection is an important nonatherosclerotic cause of acute coronary syndrome, particularly in women with few conventional cardiovascular risk factors.
CASE SUMMARY
A 62-year-old woman without traditional risk factors presented with non-ST-segment elevation myocardial infarctio...
Left ventricular (LV) thrombus in patients with severe coronary artery disease (CAD) poses a difficult decision regarding the safety and timing of revascularization. We report a 61-year-old woman presenting with non-traumatic right ankle pain, a consequence of popliteal artery cardioembolism. Laboratory findings includ...
Jeffery Balian, D. D'Antuono, J. Conrad et al.· Journal of Investigative Med...· 0 citations
Background: High-risk percutaneous coronary intervention (HR-PCI) in patients with severe left ventricular (LV) systolic dysfunction and complex coronary artery disease may be complicated by abrupt intraprocedural hemodynamic deterioration. Temporary mechanical circulatory support may be considered after individualized...
Gerda Sibirkstyte, Mindaugas Barauskas, M. Jurenas et al.· Journal of Clinical Medicine· 0 citations
Background: In-stent restenosis (ISR) remains a major limitation of contemporary percutaneous coronary intervention (PCI), particularly in patients with diabetes mellitus and complex coronary anatomy. In addition to anatomical and metabolic factors, inappropriate lesion selection and preparation may contribute to adver...
N. Popa-Fotea, M. Bajdechi, R. Vătășescu et al.· Journal of Clinical Medicine· 0 citations
Aortic root thrombosis (ART) is a rare but serious complication of continuous-flow left ventricular assist device (LVAD) support that can result in coronary artery occlusion. We present a 66-year-old man with a HeartMate 3 LVAD who presented with ST-segment elevation myocardial infarction (STEMI). Urgent coronary angio...
Umama Gorsi, Julia Kumar, N. Kim et al.· Cureus· 0 citations
Combining resting coronary physiology with optical coherence tomography provided complementary physiological and anatomical information that guided the intervention in a chronic, remodeled dissection-an approach that may be valuable if recurrent symptoms or ventricular dysfunction complicate SCAD follow-up, provided th...
Eduardo Silveira, J. Teixeira, Monique Koelln et al.· Catheterization and cardiova...· 0 citations
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