A Case Report on Spontaneous Coronary Artery Dissection in a Patient with Churg-Strauss Syndrome

Abstract

Spontaneous Coronary Artery Dissection (SCAD) is a rare but of one the important causes of sudden cardiac arrest and Acute Coronary Syndrome (ACS). It is complex and often under diagnosed. It has multifactorial aetiologies. It is predominantly seen in young women presenting with ACS, with no pre-existing history of Coronary Artery Disease (CAD) and is commonly diagnosed via coronary angiography. It may be associated with autoimmune disease, connective tissue disorder, collagen vascular disease, Marfan syndrome, intense physical exercise and during peripartum period. The various treatment modalities for SCAD are conservative medical treatment, Percutaneous Coronary Intervention (PCI), and surgery. Here, authors describe a case of 33-year-old women who presented with ACS, with no pre-existing history of CAD. Patient responded well with medical management. This condition has grave prognosis, if not detected and treated promptly. So it is very important to keep SCAD as differential diagnosis in ACS among young patients.

Keywords

• acute coronary syndrome
• autoimmune disease
• connective tissue disorder
• sudden cardiac arrest
• young women