Recurrent spontaneous coronary artery dissection in 4 vascular territories

Nader Makki, Poorvi Dalal, Quinn Capers, Ernest Mazzaferri, Talal Attar

Research output: Contribution to journalArticlepeer-review


Spontaneous coronary artery dissection, a rare cause of acute coronary syndrome, is due to nonatherosclerotic coronary events and is probably underrecognized as a cause of myocardial infarction. The condition typically affects premenopausal women who are otherwise healthy. Among more than 1,200 reported cases, recurrent dissection has been described 63 times, and only 3 reports have documented multiple episodes of dissection involving different vascular territories. We present the case of a woman in her 30s who, over a 9-year period, presented 4 times with coronary dissection in different vascular territories. She was first treated conservatively, then with stents, and ultimately by means of coronary artery bypass grafting. In addition to this case, we discuss this rare condition and its management.

Original languageEnglish (US)
Pages (from-to)106-109
Number of pages4
JournalTexas Heart Institute Journal
Issue number2
StatePublished - Apr 2018
Externally publishedYes


  • Acute coronary syndrome/complications
  • Coronary artery dissection, spontaneous
  • Coronary vessels/pathology
  • Female
  • Percutaneous coronary intervention
  • Recurrence
  • Treatment outcome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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