2 Cases of Spontaneous Coronary Artery Dissection in Neonates

Spontaneous coronary artery dissection in infants is a rare phenomenon. We present 2 neonates with severe ventricular dysfunction due to coronary artery dissection. Neither patient had evidence of extracardiac fibromuscular dysplasia or other comorbidities that would explain the presentation. (Level...

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Published inJACC. Case reports Vol. 6; p. 101704
Main Authors Bassi, Sunakshi, Gearhart, Addison, Sanders, Stephen P., Carreon, Chrystalle Katte, Quinn, Brian, VanderPluym, Christina, Beroukhim, Rebecca S.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 18.01.2023
Elsevier
Subjects
Case Report
coronary artery
heart failure
spontaneous coronary artery dissection
ECMO
heart failure
RV
ACTN2
spontaneous coronary artery dissection
coronary artery
LV
MCA
LCA
LAD
PCA
SVT
RCA
SCAD
FMD
SCAD, spontaneous coronary artery dissection
FMD, fibromuscular dysplasia
RV, right ventricular
ACTN2, alpha-actinin 2
RCA, right coronary artery
LAD, left anterior descending artery
LV, left ventricular
MCA, middle cerebral artery
SVT, supraventricular tachycardia
ECMO, extracorporeal membrane oxygenation
LCA, left coronary artery
PCA, posterior cerebral artery
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Summary:Spontaneous coronary artery dissection in infants is a rare phenomenon. We present 2 neonates with severe ventricular dysfunction due to coronary artery dissection. Neither patient had evidence of extracardiac fibromuscular dysplasia or other comorbidities that would explain the presentation. (Level of Difficulty: Advanced.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2022.101704