title: Spontaneous coronary artery dissection with multiple coronary artery aneurysms in a patient with diabetic ketoacidosis.
abstract: Spontaneous coronary artery dissection (SCAD) is a very rare and commonly fatal condition that typically presents with signs and symptoms of an acute myocardial infarction and cardiogenic shock. We herein present a case of a 54-year-old woman who was diagnosed with diabetic ketoacidosis (DKA) as the first manifestation of her underlying diabetes mellitus, while being hospitalized for treatment, she was found to have a non ST-elevation myocardial infarction (NSTEMI), an urgent cardiac catheterization revealed a complete dissection of the right coronary artery (RCA) with an intraluminal thrombus formation and multiple aneurismal dilatations in the left anterior descending (LAD) and left circumflex (LC) arteries. The patient underwent coronary artery bypass grafting with a favorable outcome.
authors.affiliation: 1 Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, Florida, USA ; 2 St. George's University, Grenada, West Indies; 3 Department of Internal Medicine, Mount Sinai School of Medicine, Jersey City Medical Center, New Jersey, USA.
authors.forename: Basheer
authors.initials: B
authors.lastname: Tashtoush
authors.affiliation: 1 Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, Florida, USA ; 2 St. George's University, Grenada, West Indies; 3 Department of Internal Medicine, Mount Sinai School of Medicine, Jersey City Medical Center, New Jersey, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Balagadde
authors.affiliation: 1 Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Florida, Weston, Florida, USA ; 2 St. George's University, Grenada, West Indies; 3 Department of Internal Medicine, Mount Sinai School of Medicine, Jersey City Medical Center, New Jersey, USA.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Bhatt
keywords: Spontaneous coronary artery dissection (SCAD); diabetic ketoacidosis (DKA)