A Challenging Case of Extensive Spontaneous Coronary Artery Dissection

The detection of spontaneous coronary artery dissection (SCAD) causing myocardial infarction is integral in pursuing the appropriate management. Our case posed a diagnostic challenge, with Takotsubo cardiomyopathy and coronary embolism among the potential differential diagnoses upon the initial pres...

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Main Authors:	Nupoor Narula, MD, Harsimran Singh, MD, MSc, Udhay Krishnan, MD, Christopher Sciria, MD, Adam Vohra, MD, Jiwon Kim, MD, Christopher Lau, MD, Dmitriy Feldman, MD, Luke Kim, MD, Julie L. Friedman, MD
Format:	Article
Language:	English
Published:	Elsevier 2020-08-01
Series:	JACC: Case Reports
Subjects:	spontaneous coronary artery dissection Takotsubo cardiomyopathy women’s health
Online Access:	http://www.sciencedirect.com/science/article/pii/S2666084920308731

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spelling	doaj-0558d50cf52943d8b38f4b1d4ffc0ce72021-06-07T06:56:58ZengElsevierJACC: Case Reports2666-08492020-08-0121014371442A Challenging Case of Extensive Spontaneous Coronary Artery DissectionNupoor Narula, MD0Harsimran Singh, MD, MSc1Udhay Krishnan, MD2Christopher Sciria, MD3Adam Vohra, MD4Jiwon Kim, MD5Christopher Lau, MD6Dmitriy Feldman, MD7Luke Kim, MD8Julie L. Friedman, MD9Division of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDepartment of Cardiothoracic Surgery, Weill Cornell Medical College, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New YorkDivision of Cardiology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York; Address for correspondence: Dr. Julie L. Friedman, Division of Cardiology, Department of Medicine, Weill Cornell Medicine, 520 East 70th Street, Starr Pavilion, 4th Floor, New York, New York 10021.The detection of spontaneous coronary artery dissection (SCAD) causing myocardial infarction is integral in pursuing the appropriate management. Our case posed a diagnostic challenge, with Takotsubo cardiomyopathy and coronary embolism among the potential differential diagnoses upon the initial presentation. Extensive propagation of spontaneous coronary artery dissection subsequently resulted in a significant challenge to management requiring surgical revascularization. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920308731spontaneous coronary artery dissectionTakotsubo cardiomyopathywomen’s health
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Nupoor Narula, MD Harsimran Singh, MD, MSc Udhay Krishnan, MD Christopher Sciria, MD Adam Vohra, MD Jiwon Kim, MD Christopher Lau, MD Dmitriy Feldman, MD Luke Kim, MD Julie L. Friedman, MD
spellingShingle	Nupoor Narula, MD Harsimran Singh, MD, MSc Udhay Krishnan, MD Christopher Sciria, MD Adam Vohra, MD Jiwon Kim, MD Christopher Lau, MD Dmitriy Feldman, MD Luke Kim, MD Julie L. Friedman, MD A Challenging Case of Extensive Spontaneous Coronary Artery Dissection JACC: Case Reports spontaneous coronary artery dissection Takotsubo cardiomyopathy women’s health
author_facet	Nupoor Narula, MD Harsimran Singh, MD, MSc Udhay Krishnan, MD Christopher Sciria, MD Adam Vohra, MD Jiwon Kim, MD Christopher Lau, MD Dmitriy Feldman, MD Luke Kim, MD Julie L. Friedman, MD
author_sort	Nupoor Narula, MD
title	A Challenging Case of Extensive Spontaneous Coronary Artery Dissection
title_short	A Challenging Case of Extensive Spontaneous Coronary Artery Dissection
title_full	A Challenging Case of Extensive Spontaneous Coronary Artery Dissection
title_fullStr	A Challenging Case of Extensive Spontaneous Coronary Artery Dissection
title_full_unstemmed	A Challenging Case of Extensive Spontaneous Coronary Artery Dissection
title_sort	challenging case of extensive spontaneous coronary artery dissection
publisher	Elsevier
series	JACC: Case Reports
issn	2666-0849
publishDate	2020-08-01
description	The detection of spontaneous coronary artery dissection (SCAD) causing myocardial infarction is integral in pursuing the appropriate management. Our case posed a diagnostic challenge, with Takotsubo cardiomyopathy and coronary embolism among the potential differential diagnoses upon the initial presentation. Extensive propagation of spontaneous coronary artery dissection subsequently resulted in a significant challenge to management requiring surgical revascularization. (Level of Difficulty: Intermediate.)
topic	spontaneous coronary artery dissection Takotsubo cardiomyopathy women’s health
url	http://www.sciencedirect.com/science/article/pii/S2666084920308731
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A Challenging Case of Extensive Spontaneous Coronary Artery Dissection

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