Work

Multivessel Spontaneous Coronary Artery Dissection and Myocarditis: A Rare Case Highlighting the Value of Multimodality Cardiac Imaging

Year: 2025

Type: article

Abstract: Spontaneous coronary artery dissection (SCAD), once considered too rare to study, is now recognized as an important nonatherosclerotic and nontraumatic cause of myocardial infarction, especially in young women. However, it is often challenging to differentiate from alternative etiologies of chest discomfort, such as atherosclerotic acute coronary syndromes or myocarditis. Here, we describe the unique case of a young woman who presented with an acute chest pain syndrome and was found to have co-occurring myocarditis and multivessel SCAD. The use of multimodality imaging studies to include transthoracic echocardiogram (TTE), cardiac magnetic resonance imaging (MRI), coronary computed tomography angiography (CCTA), invasive coronary angiography (ICA), and intravascular ultrasound (IVUS) delivered the confirmation of concomitant diagnoses which were consistent with the clinical presentation. This case highlights the critical role of multimodality imaging in the diagnosis and management of coexistent cardiac pathologies.

Source: Cureus

DOI: 10.7759/cureus.91407

Authors: Jared C Daddario, Matthew A Tunzi, John-Henry L Dean, Rosco S Gore

Institution: San Antonio Uniformed Services Health Education Consortium

Language: English

Topic: Cardiovascular Issues in Pregnancy

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413880615