title: Recurrent spontaneous coronary artery dissection: First case report in men with three episodes of spontaneous coronary dissection in separate vascular territories.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. In the literature, more than 1,200 cases of SCAD have been reported, with a low rate of recurrent spontaneous coronary artery dissection (r-SCAD) described in only 63 cases. Among these patients with r-SCAD, just three cases had three separate episodes of dissection and all were in women. We report the first case of r-SCAD in men, with three episodes of dissection in different coronary arteries and review the published literature on predisposing factors for r-SCAD and its management.
authors.affiliation: Department of Medicine, Southern Illinois University School of Medicine, Springfield, Illinois.
authors.forename: Muralidhar R
authors.initials: MR
authors.lastname: Papireddy
authors.affiliation: Prairie Heart Institute, Springfield, Illinois.
authors.forename: Shailesh
authors.initials: S
authors.lastname: Nandish
authors.affiliation: Clinical Professor of Medicine, Southern Illinois University School of Medicine, Springfield, Illinois.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Mishkel
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011237:Predictive Value of Tests; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents
keywords: management; recurrence; spontaneous coronary artery dissection