Abstract

  Spontaneous coronary artery dissection is a rare cause of myocardial infarction and sudden cardiac death. Spontaneous coronary dissection SCAD, described for the first time in 1931, corresponds to the non-traumatic and non-iatrogenic appearance of an intraparietal hematoma, of which systemic inflammatory diseases are among the etiologies of the SCAD reporting to us. Spontaneous coronary artery dissection (SCAD) is a poorly understood and under-diagnosed entity of acute coronary syndrome, however, in this case, we report our experience in the diagnosis and surgical treatment in an adult patient operated in our cardiovascular surgery department. The case of an adult patient presenting an acute coronary syndrome discovered during his hospitalization for the management of his systemic lupus disease operated in our department The 32 year old patient with a history of hypothyroidism, he was hospitalized in internal medicine for the management of systemic lupus “pulmonary, articular, cutaneous and serous involvement”. he presented an acute coronary syndrome, retrosternal pain, Coronary angiography: dissection of the left anterior descending artery LAD and first diagonal artery D1. Patient operated in our department in whom we performed a double bypass on the left anterior descending artery LAD and first diagonal artery D1 good post-operative with good LV function at TTE out day 5 postoperative and control at 6 months after good function LV. Spontaneous coronary dissection SCAD should be suspected before any acute coronary syndrome in an adult patient with little or without cardiovascular risk factors presenting with a systemic inflammatory disease and requiring regular follow-up, or conservative initial treatment should be preferred in the majority of cases.

Keywords: Spontaneous Dissection; Coronary Artery; Acute Coronary Syndrome

References

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Citation

Citation: A Riache., et al. “Spontaneous Dissection of Coronary Artery “Lupudic Origin”: A Rare Cause of Acute Coronary Syndrome”. Acta Scientific Clinical Case Reports 1.4 (2020): 13-15.

Copyright

Copyright: © 2020 A Riache., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.