Spontaneous Coronary Artery Dissection in Hyperdominant Left Anterior Coronary Descending Artery

Princess Neila Litkouhi; Aditya Bhat; Christopher Choong; Ravinay Bhindi

doi:10.1016/j.jaccas.2024.102365

Spontaneous Coronary Artery Dissection in Hyperdominant Left Anterior Coronary Descending Artery

JACC Case Rep. 2024 May 16;29(12):102365. doi: 10.1016/j.jaccas.2024.102365. eCollection 2024 Jun 19.

Authors

Princess Neila Litkouhi¹, Aditya Bhat^{1

2}, Christopher Choong¹, Ravinay Bhindi^{1

2}

Affiliations

¹ Department of Cardiology, Royal North Shore Hospital, St. Leonards, Australia.
² School of Medicine, University of Sydney, Camperdown, Australia.

Abstract

A hyperdominant left anterior descending coronary artery variation is a rare but important diagnosis because of the risk for large-territory ischemia. We describe a very rare presentation of spontaneous coronary artery dissection in the distal portion of a hyperdominant left anterior descending coronary artery. No similar cases have been described.

Keywords: coronary angiography; coronary vessel anomaly; dissection.