Spontaneous coronary artery dissection of ramus intermedius in an elderly woman

Carl Tanba, MD; Sumanth Bandaru, MD; Zayd Alhaddad, MD; Fady Iskander, MD

Radiology Case Reports (Nov 2022)

Spontaneous coronary artery dissection of ramus intermedius in an elderly woman

Carl Tanba, MD,
Sumanth Bandaru, MD,
Zayd Alhaddad, MD,
Fady Iskander, MD

Affiliations

Carl Tanba, MD: Department of Internal Medicine, Medstar Union Memorial Hospital, 301 E University Pkwy, Baltimore, MD 21218, USA; Corresponding author.
Sumanth Bandaru, MD: Department of Internal Medicine, Medstar Union Memorial Hospital, 301 E University Pkwy, Baltimore, MD 21218, USA
Zayd Alhaddad, MD: Department of Internal Medicine, Medstar Union Memorial Hospital, 301 E University Pkwy, Baltimore, MD 21218, USA
Fady Iskander, MD: Department of Cardiology, Medstar Union Memorial Hospital, 3333 North Calvert Street Johnston Professional Bldg Ste LL08, Baltimore, MD, 21218, USA

Journal volume & issue: Vol. 17, no. 11
pp. 4165 – 4167

Abstract

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Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia commonly seen in younger patients, particularly women. Patients often present similar to those with acute coronary syndrome (ACS); however, they often are missing the classic risk factors that are typically associated with coronary artery disease. Differentiating between SCAD and ACS is vital as they are managed differently with up to 80% of SCAD being managed conservatively. We present a case of 61-year-old woman with no previous cardiac history presenting with chest pain and was found to have spontaneous coronary artery dissection on coronary angiography.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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