title: Incidental Spontaneous Coronary Dissection: An Interventionist's Dilemma.
abstract: Spontaneous coronary artery dissection (SCAD) is an uncommon entity, frequently presenting as ST-elevation myocardial infarction (MI) or sudden cardiac death. It is usually reported in association with pregnancy and has a high mortality. We present here a case of asymptomatic dissection of the right coronary artery, incidentally detected, in a young normotensive male when coronary angiography was done following acute anterior wall MI. This patient had none of the risk factors to which SCAD is generally ascribed. While management of the infarct-related artery was clear-cut, whether or not to intervene for this nonocclusive dissection was a difficult decision. A conservative approach was finally adopted for the spontaneous dissection and the patient is faring well till date.
authors.affiliation: Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Akshyaya
authors.initials: A
authors.lastname: Pradhan
authors.affiliation: Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Safal
authors.initials: S
authors.lastname: Safal
authors.affiliation: Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Varun Shankar
authors.initials: VS
authors.lastname: Narain
authors.affiliation: Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Rishi
authors.initials: R
authors.lastname: Sethi
keywords: Coronary dissection; myocardial infarction; spontaneous; young