Case of Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively
Author Information
Author(s): Garen S. Kroshian, Matthew J. Cozzolino, Edeliz Flores, Sheilah A. Bernard
Primary Institution: Boston Medical Center, Boston, Massachusetts, USA
Hypothesis
Can extensive multivessel spontaneous coronary artery dissection (SCAD) be managed conservatively without intervention?
Conclusion
The case demonstrates that extensive multivessel SCAD may be managed conservatively without PCI or CABG, showing evidence of natural healing.
Supporting Evidence
- The patient had complete resolution of chest pain prior to angiography.
- Follow-up angiography showed complete healing of her coronary vasculature.
- SCAD is often associated with emotional stress and commonly occurs in women under 50.
Takeaway
A woman had a serious heart condition called SCAD but got better without surgery or other big treatments.
Methodology
The patient was managed conservatively without procedural intervention, and follow-up angiography showed complete recovery.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
54-year-old woman with a history of obesity and several comorbidities.
Digital Object Identifier (DOI)
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