Spontaneous coronary artery dissection with multiple coronary artery aneurysms in a patient with diabetic ketoacidosis |
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Authors: | Basheer Tashtoush Angela Balagadde Mahesh Bhatt |
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Affiliation: | 1.Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, Florida, USA; 2.St. George’s University, Grenada, West Indies; 3.Department of Internal Medicine, Mount Sinai School of Medicine, Jersey City Medical Center, New Jersey, USA |
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Abstract: | Spontaneous coronary artery dissection (SCAD) is a very rare and commonly fatal condition that typically presents with signs and symptoms of an acute myocardial infarction and cardiogenic shock. We herein present a case of a 54-year-old woman who was diagnosed with diabetic ketoacidosis (DKA) as the first manifestation of her underlying diabetes mellitus, while being hospitalized for treatment, she was found to have a non ST-elevation myocardial infarction (NSTEMI), an urgent cardiac catheterization revealed a complete dissection of the right coronary artery (RCA) with an intraluminal thrombus formation and multiple aneurismal dilatations in the left anterior descending (LAD) and left circumflex (LC) arteries. The patient underwent coronary artery bypass grafting with a favorable outcome. |
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Keywords: | Spontaneous coronary artery dissection (SCAD) diabetic ketoacidosis (DKA) |
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