Recurrent Spontaneous Coronary Artery Dissection: A Case of Triple Trouble

Authors

Sumit Khurana, Department of Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, MarylandFollow
Jessica Kaushal, Department of Internal Medicine, Bridgeport Hospital and Burn center, Yale New Haven Health, Bridgeport, Connecticut
Dhruv Markan, Department of Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, Maryland
John C. Wang, MedStar Heart & Vascular Institute, Baltimore, MD
Antony Kaliyadan, MedStar Heart & Vascular Institute, Baltimore, MD
Christopher Haas, Department of Internal Medicine, Georgetown University School of Medicine, Washington, DC
Amrit Devkota, Department of Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, MarylandFollow

Abstract

SCAD (Spontaneous Coronary Artery Dissection) is a rare disorder which rarely recurs. It is increasingly diagnosed as a cause for acute coronary syndrome (ACS) with limited insight into its pathophysiology and treatment. Lack of randomized trials and consensus guidelines make this a unique and challenging disease to manage. We describe a complex case of recurrent idiopathic SCAD with prior history of NSTE-ACS (Non-ST elevation Acute Coronary Syndrome) and discuss its management based on current clinical practices.

Recommended Citation

Khurana, Sumit; Kaushal, Jessica; Markan, Dhruv; Wang, John C.; Kaliyadan, Antony; Haas, Christopher; and Devkota, Amrit (2023) "Recurrent Spontaneous Coronary Artery Dissection: A Case of Triple Trouble," Journal of Community Hospital Internal Medicine Perspectives: Vol. 13: Iss. 2, Article 13.
DOI: 10.55729/2000-9666.1170
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss2/13