Open AccessRecurrent acute coronary syndrome in a patient with spontaneous coronary artery dissection and fibromuscular dysplasia
Author(s) -
Taha Ahmed,
Tamoor Ahmed,
Samra Haroon Lodhi,
Albert W. Chan
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-235504
Subject(s) - fibromuscular dysplasia , medicine , acute coronary syndrome , artery dissection , coronary angiogram , cardiology , dissection (medical) , coronary artery disease , abnormality , radiology , artery , coronary angiography , myocardial infarction , renal artery , psychiatry , kidney
A 51-year-old woman who presented in June 2010 with acute coronary syndrome (ACS) and anterior wall motion abnormality on the echocardiogram but was found to have an insignificant angiogram. Eight years later she presented again with ACS and evidence of worsening cardiac wall motion affecting a similar territory; however, the angiogram revealing spontaneous coronary artery dissection of the distal left anterior descending artery. Extravascular screening revealed evidence of multifocal fibromuscular dysplasia. We suggest offering vascular screening for fibromuscular dysplasia in young women who present with ACS and normal angiograms, after weighing in risks and benefits.