Spontaneous Coronary Artery Dissection: Review of Current Management Strategies

Case Report

Volume 5, Issue 4

Spontaneous Coronary Artery Dissection: Review of Current Management Strategies

Alexis DeTienne¹, Brooke Scieszinski², Jared Olson², Paige Spencer² and Bradford Cardonell^2*

¹School of Medicine, University of Missouri, Columbia, MO, USA
²Department of Anesthesiology, University of Missouri Hospital, Columbia, MO, USA

^*Corresponding author: Brad Cardonell, Department of Anesthesiology, University of Missouri Hospital, Columbia, MO, USA.
E-mail: cardonellb@health.missouri.edu

Received: August 06, 2025; Accepted: August 19, 2025; Published: September 05, 2025

Citation: DeTienne A, Scieszinski B, Cardonell B, et al. Spontaneous Coronary Artery Dissection: Review of Current Management Strategies. Case Rep Clin Cardiol J. 2025; 5(4): 161.

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Abstract

Pregnancy-associated spontaneous coronary artery dissection (SCAD) often causes worse outcomes, larger infarctions, and lower ejection fractions (EF). We report the case of a 33-year-old post-partum patient with acute coronary syndrome (ACS) secondary to SCAD who required a temporary percutaneous left ventricular assist device (LVAD) and was placed on the heart transplant list. The LVAD was upgraded to a higher flow assist device, and goal-directed medical therapy and cardiopulmonary rehabilitation was started, resulting in recovery of left ventricular EF to >45% and removal from the transplant list. Similar treatment plans may allow hospitals without heart transplant capabilities better manage SCAD patients.

Keywords: Spontaneous coronary artery dissection (SCAD); Acute coronary syndrome (ACS); Percutaneous coronary intervention (PCI); Fibromuscular dysplasia; Obstetric anesthesia; Postpartum; Mechanical circulatory support; Cardiomyopathy

Article Details

Spontaneous Coronary Artery Dissection: Review of Current Management Strategies