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Saved by Menorrhagia: Spontaneous Coronary Artery Dissection Complicated With a Left Ventricular Thrombus.

Cureus, ISSN: 2168-8184, Vol: 15, Issue: 10, Page: e47623
2023
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Metric Options:   Counts1 Year3 Year

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  • Social Media
    9
    • Shares, Likes & Comments
      9
      • Facebook
        9

Article Description

Spontaneous Coronary Artery Dissection (SCAD) is a non-atherosclerotic, non-iatrogenic cause of Acute Coronary Syndrome (ACS) resulting in a tear in the coronary artery wall with subsequent myocardial infarction. Though rare, it has been increasingly recognized, especially in young women. This is a case report on SCAD where, fortuitously, the patient did not receive standard tissue plasminogen activator (TPA) on presentation of suspected ST-elevation Myocardial Infarction (STEMI). Subsequent investigations revealed a left ventricular thrombus on echocardiogram and SCAD on coronary angiogram.

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