Causation or Coincidence? A Case of Coexisting Spontaneous Coronary Artery Dissection and Coronary Thrombosis in a Patient with Kounis Syndrome

Abstract

Kounis syndrome (KS) is a hypersensitive coronary disorder leading to acute coronary syndrome triggered by drugs, food, and environmental factors. Herein, we report a 39-year-old patient who was admitted to our clinic due to type 2 KS after oral diclofenac use. Interestingly, spontaneous coronary artery dissection was detected simultaneously on coronary angiography. Up to now, no case has been defined including the combination of these two different conditions.

Keywords

• allergic myocardial infarction
• kounis syndrome
• diclofenac potassium
• spontaneous coronary artery dissection