Rare Sequela of Spontaneous Coronary Artery Dissection

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Case Report

Publication Date

4-16-2023

Keywords

acute coronary syndrome, flail mitral leaflet, ischemic mitral regurgitation, invasive coronary angiography, scad management

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

Non-atherosclerotic spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. Here, we report a case of acute ischemic mitral regurgitation (MR) due to SCAD of the left main coronary artery. Given the extent of the acute ischemic MR and multi-vessel disease, the decision was made to pursue coronary artery bypass graft surgery and annuloplasty mitral valve ring repair.

Publisher or Conference

Cureus

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