A Challenging Case of Extensive Spontaneous Coronary Artery Dissection

Nupoor Narula, MD; Harsimran Singh, MD, MSc; Udhay Krishnan, MD; Christopher Sciria, MD; Adam Vohra, MD; Jiwon Kim, MD; Christopher Lau, MD; Dmitriy Feldman, MD; Luke Kim, MD; Julie L. Friedman, MD

JACC: Case Reports (Aug 2020)

A Challenging Case of Extensive Spontaneous Coronary Artery Dissection

Nupoor Narula, MD,
Harsimran Singh, MD, MSc,
Udhay Krishnan, MD,
Christopher Sciria, MD,
Adam Vohra, MD,
Jiwon Kim, MD,
Christopher Lau, MD,
Dmitriy Feldman, MD,
Luke Kim, MD,
Julie L. Friedman, MD

Affiliations

Nupoor Narula, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Harsimran Singh, MD, MSc: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Udhay Krishnan, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Christopher Sciria, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Adam Vohra, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Jiwon Kim, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Christopher Lau, MD: Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, New York
Dmitriy Feldman, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Luke Kim, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York
Julie L. Friedman, MD: Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York; Address for correspondence: Dr. Julie L. Friedman, Division of Cardiology, Department of Medicine, Weill Cornell Medicine, 520 East 70th Street, Starr Pavilion, 4th Floor, New York, New York 10021.

Journal volume & issue: Vol. 2, no. 10
pp. 1437 – 1442

Abstract

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The detection of spontaneous coronary artery dissection (SCAD) causing myocardial infarction is integral in pursuing the appropriate management. Our case posed a diagnostic challenge, with Takotsubo cardiomyopathy and coronary embolism among the potential differential diagnoses upon the initial presentation. Extensive propagation of spontaneous coronary artery dissection subsequently resulted in a significant challenge to management requiring surgical revascularization. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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