title: Spontaneous coronary artery dissection in a patient with autosomal dominant polycystic kidney disease: a case report.
abstract: BACKGROUND
  Spontaneous coronary artery dissection is an uncommon syndrome. Its prevalence among patients with polycystic kidney disease is very rare, with no previously reported involvement of the right posterior descending coronary artery.
  
  
  METHODS
  We describe the case of a middle-aged Caucasian woman with polycystic kidney disease who presented with a non-ST elevation myocardial infarction. Cardiac catheterization revealed a dissection of her right posterior descending coronary artery. She was treated with dual antiplatelet therapy and had a favorable outcome.
  
  
  CONCLUSIONS
  We report a rare and interesting case of spontaneous coronary artery dissection of the right posterior descending coronary artery in a patient with polycystic kidney disease. It is important to consider spontaneous coronary artery dissection in the differential diagnosis of patients with polycystic kidney disease who present with an acute coronary syndrome.
authors.affiliation: Department of Medicine, Cardiovascular Division, University of Massachusetts Medical School, Worcester, MA, 01605, USA. Grover.peeyush@gmail.com.|Cardiovascular Medicine, Umass Memorial Medical Center, Worcester, MA, 01605, USA. Grover.peeyush@gmail.com.
authors.forename: Peeyush
authors.initials: P
authors.lastname: Grover
authors.affiliation: Department of Medicine, Cardiovascular Division, University of Massachusetts Medical School, Worcester, MA, 01605, USA.
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Fitzgibbons
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications* / Q000503:physiopathology; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology
chemical_list: D010975:Platelet Aggregation Inhibitors
keywords: Polycystic kidney disease; Right coronary artery; Spontaneous coronary artery dissection