Spontaneous Coronary Artery Dissection Resulting in Acute Myocardial Infarction With Cardiac Rupture

Takamasa Tanaka; Ling Li; Stephanie A Dean; Kenji Kawai; Rika Kawakami; Robert Kutys; Thomas Blanchard; Renu Virmani; Aloke V Finn

doi:10.1016/j.jaccas.2023.102196

Spontaneous Coronary Artery Dissection Resulting in Acute Myocardial Infarction With Cardiac Rupture

JACC Case Rep. 2024 Jan 3;29(3):102196. doi: 10.1016/j.jaccas.2023.102196. eCollection 2024 Feb 7.

Authors

Takamasa Tanaka¹, Ling Li^{2

3}, Stephanie A Dean², Kenji Kawai¹, Rika Kawakami¹, Robert Kutys¹, Thomas Blanchard³, Renu Virmani¹, Aloke V Finn^{1

3}

Affiliations

¹ CVPath Institute, Gaithersburg, Maryland, USA.
² Office of the Chief Medical Examiner, Baltimore, Maryland, USA.
³ University of Maryland School of Medicine, Baltimore, Maryland, USA.

Abstract

Spontaneous coronary artery dissection occurs predominantly in women and is associated with fibromuscular dysplasia. We illustrate a rare case of sudden coronary death as a result of cardiac rupture from spontaneous coronary artery dissection in a 54-year-old man without fibromuscular dysplasia. Cardiac rupture has been previously reported in 6 cases, mostly in women.

Keywords: acute myocardial infarction; acute spontaneous coronary artery dissection; cardiac rupture; sudden cardiac death.

Publication types

Case Reports