Case series


A tale of two SCADs: Spontaneous coronary artery dissection series

Sanjana Rao BS, Nitish Mittal BS, Mohammad M Ansari MD

ABSTRACT

Spontaneous coronary artery dissection (SCAD), a relatively rare condition, occurs when a tear develops in the coronary artery wall that may slow blood flow and lead to clot formation. This occurs mostly in relatively young and healthy women with minimal past medical histories; most patients have chest pain or shortness of breath. In this report, we present two female SCAD patients and discuss the etiology, diagnosis, and treatment of SCAD. We describe a 33-year-old woman and a 40-year-old woman, both presenting to the emergency department with chest pain and shortness of breath. Coronary artery angiography demonstrated SCAD. Both patients were treated with aspirin, beta-blockers, and statins with good clinical responses; one patient required a coronary stent.

Keywords: Spontaneous coronary artery dissection, female, intramural hematoma




Article citation: Rao S, Mittal N, Ansari MM. A tale of two SCADs: spontaneous coronary artery dissection series. The Southwest Respiratory and Critical Care Chronicles 2021;9(37):70–73

From: Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas

Submitted: 12/16/2021

Accepted: 1/8/2021

Reviewer: Deephak Swaminath MD

Conflicts of interest: none

This work is licensed under a Creative Commons Attribution-Share

Alike 4.0 International License.