2 Cases of Spontaneous Coronary Artery Dissection in Neonates

Sunakshi Bassi; Addison Gearhart; Stephen P Sanders; Chrystalle Katte Carreon; Brian Quinn; Christina VanderPluym; Rebecca S Beroukhim

doi:10.1016/j.jaccas.2022.101704

2 Cases of Spontaneous Coronary Artery Dissection in Neonates

JACC Case Rep. 2022 Dec 8:6:101704. doi: 10.1016/j.jaccas.2022.101704. eCollection 2023 Jan 18.

Authors

Sunakshi Bassi¹, Addison Gearhart^{1

2}, Stephen P Sanders^{1

3}, Chrystalle Katte Carreon^{3

4}, Brian Quinn^{1

2}, Christina VanderPluym^{1

2}, Rebecca S Beroukhim^{1

2}

Affiliations

¹ Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
² Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts, USA.
³ Cardiac Registry, Departments of Cardiology, Pathology, and Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
⁴ Department of Pathology, Boston Children's Hospital and Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA.

Abstract

Spontaneous coronary artery dissection in infants is a rare phenomenon. We present 2 neonates with severe ventricular dysfunction due to coronary artery dissection. Neither patient had evidence of extracardiac fibromuscular dysplasia or other comorbidities that would explain the presentation. (Level of Difficulty: Advanced.).

Keywords: ACTN2, alpha-actinin 2; ECMO, extracorporeal membrane oxygenation; FMD, fibromuscular dysplasia; LAD, left anterior descending artery; LCA, left coronary artery; LV, left ventricular; MCA, middle cerebral artery; PCA, posterior cerebral artery; RCA, right coronary artery; RV, right ventricular; SCAD, spontaneous coronary artery dissection; SVT, supraventricular tachycardia; coronary artery; heart failure; spontaneous coronary artery dissection.

Publication types

Case Reports