Open AccessSpontaneous dissection of proximal left main coronary artery in a healthy adolescent presenting with syncope: A case report
Author(s) -
Sui-Feng Liu,
Yanan Zhao,
Chunwen Jia,
Tianyi Ma,
Shi-Da Cai,
Feng Gao
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i7.2341
Subject(s) - medicine , cardiology , acute coronary syndrome , cardiogenic shock , chest pain , ejection fraction , myocardial infarction , right coronary artery , asymptomatic , percutaneous coronary intervention , heart failure , coronary angiography
Spontaneous coronary artery dissection (SCAD) is a frequent cause of acute coronary syndrome in young to middle-aged women with few or no traditional cardiovascular risk factors. Chest pain is the most frequently described presenting symptom, but syncope is extremely rare. Herein, we report on a 16-year-old girl who presented with an episode of syncope occurring during a race. Despite significantly elevated troponin level, the diagnosis of the left main coronary artery SCAD with cardiogenic shock was delayed.