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Case Report
Spontaneous coronary artery dissection: An unusual case of myocarditis mimicry with delayed apical thrombus
1 Department of Medicine, Section of Internal Medicine, West Virginia University School of Medicine, Morgantown, WV, USA
2 Department of Medicine, Division of Cardiovascular Diseases, West Virginia University School of Medicine, Morgantown, WV, USA
Address correspondence to:
Carlson Sama
Internal Medicine, Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506,
USA
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Article ID: 101430Z01CS2023
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How to cite this article
Sama C, Jagadeesan V, Abdelhaleem A, Velu D, Taskeesen T, Chobufo MD, Adeniyi AR, Roberts M, Daggubati R, Hamirani YS. Spontaneous coronary artery dissection: An unusual case of myocarditis mimicry with delayed apical thrombus. Int J Case Rep Images 2023;14(2):155–159.ABSTRACT
Introduction: We discuss the occurrence of a unique triad of spontaneous coronary artery dissection (SCAD), myocarditis, and thrombus in a patient without risk factors.
Case Report: A 26-year-old male referred to our facility for invasive intervention after presenting with sudden onset chest pain for which an initial electrocardiogram (ECG) showed an anterolateral ST-segment elevation myocardial infarction and a troponin-I level of 425,923 ng/dL. Upon arrival, an urgent coronary angiography revealed a type II spontaneous SCAD of the left anterior descending artery with extensive myocarditis on cardiac magnetic resonance imaging with a subsequent development of an apical thrombus. He was medically optimized and discharged in a stable state.
Conclusion: The complex interplay between SCAD, myocarditis, and thrombus development remains unclear and though rare, it serves as a relevant hypothesis-generating basis for future inquiry. Awareness of the concomitant occurrence of these entities is paramount to facilitating tailored management of affected patients.
Keywords: Cardiac magnetic resonance imaging, Myocarditis, Spontaneous coronary artery dissection, Thrombus
SUPPORTING INFORMATION
Author Contributions
Carlson Sama - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vikrant Jagadeesan - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ahmed Abdelhaleem - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dhivya Velu - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tuncay Taskesen - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Muchi Ditah Chobufo - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdul-Razaq Adeniyi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Melissa Roberts - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ramesh Daggubati - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yasmin S Hamirani - Substantial contributions to conception and design, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Carlson Sama et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
