1. Uncommon triple vessel spontaneous coronary artery dissection in the setting of polyarteritis nodosa: a case report.
- Author
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Lahmouch N, Faraj R, Cherkaoui S, Nafii O, Sarsari M, Kerrouani O, Allalat I, Zarzur J, and Cherti M
- Subjects
- Humans, Female, Aged, Non-ST Elevated Myocardial Infarction diagnostic imaging, Coronary Vessels diagnostic imaging, Polyarteritis Nodosa complications, Polyarteritis Nodosa diagnostic imaging, Vascular Diseases congenital, Vascular Diseases diagnostic imaging, Vascular Diseases complications, Coronary Vessel Anomalies diagnostic imaging, Coronary Vessel Anomalies complications, Coronary Angiography
- Abstract
Introduction and Importance: Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes not related to atherosclerosis. It involves the sudden tearing of the coronary artery wall, separating the inner intimal lining from the outer vessel wall, typically affecting a single coronary vessel. In 20% of cases, the cause of spontaneous coronary artery dissection is unknown. The other cases often occur in pregnant or postpartum women or in individuals with conditions such as connective tissue disorders or vasculitis., Case Presentation: Here, we describe a case of a 69-year-old African female presenting with non-ST-segment elevation myocardial infarction. Coronary angiography revealed an unusual triple-vessel spontaneous coronary artery dissection affecting peripheral segments, with further investigations suggesting polyarteritis nodosa., Conclusion: While triple-vessel spontaneous coronary artery dissection and polyarteritis nodosa (PAN) are individually rare, their coexistence is exceptionally uncommon and presents diagnostic and therapeutic challenges. Clinicians should be alert to vasculitic causes in patients with spontaneous coronary artery dissection, especially with atypical clinical features., (© 2024. The Author(s).) more...
- Published
- 2024
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