title: Recurrent spontaneous coronary artery dissection in a woman with fibromuscular dysplasia.
abstract: We report a case of five recurrent myocardial infarctions due to repeat spontaneous coronary artery dissection (SCAD) in a woman with underlying fibromuscular dysplasia. Her angiographic SCADs were missed on two occasions. Patients with a history of SCAD are at risk for recurrent dissections. This case also highlights the angiographic variants of SCAD, and the utility of intracoronary imaging in diagnosing suspected SCAD.
authors.affiliation: Vancouver General Hospital Vancouver, BC, V5Z1M9, Canada. jsaw@mail.ubc.ca.
authors.forename: Amit
authors.initials: A
authors.lastname: Khosla
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Saw
mesh_terms: D050197:Atherosclerosis / Q000175:diagnosis*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D003951:Diagnostic Errors; D004562:Electrocardiography; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology*; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging*; D012008:Recurrence; D013318:Stroke Volume; D014652:Vascular Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology