The Hidden Fissure: A Case of Spontaneous Coronary Artery Dissection

Dr. Samantha Aster Pinto, Dr. Joel Piedade Quadros

Abstract: Spontaneous coronary artery dissection (SCAD) is an uncommon, non-atherosclerotic cause of acute coronary syndrome, characterized by a sudden tear in the coronary arterial wall with subsequent accumulation of blood between its layers. Separation of these layers leads to the formation of an intramural hematoma, which may extend under pressure, creating a true and a false lumen. This process compromises coronary blood flow and can result in myocardial infarction, arrhythmias, or sudden cardiac death. We report the case of a young male who presented with an acute coronary event and was angiographically diagnosed with Type III SCAD. He was managed conservatively with medical therapy. The underlying etiology of his presentation remains under investigation.

Keywords: Spontaneous Coronary Artery Dissection, Hyperhomocystinemia, Acute Coronary Syndrome

How to Cite?: Dr. Samantha Aster Pinto, Dr. Joel Piedade Quadros, "The Hidden Fissure: A Case of Spontaneous Coronary Artery Dissection", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 1955-1956, https://www.ijsr.net/getabstract.php?paperid=SR251129195616, DOI: https://dx.doi.org/10.21275/SR251129195616