• Prehosp Emerg Care · Nov 2017

    Case Reports

    Spontaneous Coronary Artery Dissection in a Woman with a Past Medical History of Subarachnoid Hemorrhage: A Case Report.

    • Jean Bardon, Fabien Picard, Franck Barbou, Olivier Varenne, and Benoît Vivien.
    • Prehosp Emerg Care. 2017 Nov 1; 21 (6): 782-785.

    AbstractSpontaneous coronary artery dissection (SCAD) is an uncommon disease. We report the case of a 50 year-old woman with a past medical history of aneurysmal subarachnoid hemorrhage, presenting with acute chest pain and diffuse ST segment elevation on ECG. Coronary angiogram revealed a SCAD of the left anterior descending coronary artery. The association between cerebral aneurysms and SCAD should trigger providers concern for fibromuscular dysplasia. We hereby report on a rare and atypical case involving the relationship between fibromuscular dysplasia and SCAD.

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