J Transcat Intervent.2022;30:eA20210036.
A rare cause of cardiac arrest: a case of an extensive left coronary artery spontaneous dissection
Cátia Costa Oliveira
, Sérgia Rocha
, Carlos Galvão Braga
, João Costa
, Jorge Marques
DOI: 10.31160/JOTCI202230A20210036
ABSTRACT
A 28-year-old male with a previous history of drug abuse was sent to an emergent coronary angiography, after a cardiac arrest, with a post-resuscitation eletrocardiogram showing ST-segment elevation from V1-V4. Angiography showed multivessel and multisegment spontaneous coronary artery dissection. Due to clinical instability, patient underwent left anterior descending artery percutaneous coronary intervention. Prevalence of spontaneous coronary artery dissection as the cause of acute coronary syndrome is anecdotal in men. Yet, in the right scenarios as in this case, it must be ruled out. Cardiorespiratory arrest is an uncommon presentation of spontaneous coronary artery dissection and percutaneous coronary intervention in spontaneous coronary artery dissection is still a matter of debate.
207
