Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery

Guson Kang, MD; Ashish Sarraju, MD; Takeshi Nishi, MD; Ian Rogers, MD; Jennifer A. Tremmel, MD, MS; Juyong Brian Kim, MD

JACC: Case Reports (Jan 2020)

Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery

Guson Kang, MD,
Ashish Sarraju, MD,
Takeshi Nishi, MD,
Ian Rogers, MD,
Jennifer A. Tremmel, MD, MS,
Juyong Brian Kim, MD

Affiliations

Guson Kang, MD: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California
Ashish Sarraju, MD: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California
Takeshi Nishi, MD: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California
Ian Rogers, MD: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California
Jennifer A. Tremmel, MD, MS: Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California
Juyong Brian Kim, MD: Address for correspondence: Dr. Juyong Brian Kim, Division of Cardiovascular Medicine, 300 Pasteur Drive, CV273, Falk CVRC, MC 5406, Stanford, California 94305.; Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California

Journal volume & issue: Vol. 2, no. 1
pp. 45 – 50

Abstract

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Spontaneous coronary artery dissection is an increasingly recognized cause of acute coronary syndrome in younger patients. Management remains challenging and involves weighing the benefits of revascularization with the potential to worsen the dissection. We present a case of spontaneous coronary artery dissection with the superimposed complexity of an anomalous intramural coronary artery. (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

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Abstract

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