Cor Vasa 2023, 65(4):688-691 | DOI: 10.33678/cor.2023.025

(Spontaneous coronary artery dissection during a sightseeing flight)

Lucjan Rucki, Radim Špaček, Miroslav Hudec, Libor Škňouřil

Kardiologické oddělení, Nemocnice AGEL Třinec-Podlesí, Třinec

Spontaneous coronary artery dissection is one of the causes of acute coronary syndrome. It is most common in young women and may occur after physical or emotional stress and may be associated with fibromuscular dysplasia or inflammatory diseases. Its treatment may be conservative and revascularization is indicated in case of ongoing myocardial ischemia, which is associated with the risk of iatrogenic coronary artery dis- section. In this case report, we present a young woman who developed coronary artery dissection during a sightseeing flight. Due to ongoing chest pain, the patient was indicated for PCI, which was complicated by left main coronary artery occlusion. The possible relationship between hypothyroidism and spontaneous coronary artery dissection is discussed.

Keywords: Acute coronary syndrome, Hypothyroidism, Spontaneous coronary artery dissection

Received: November 17, 2022; Revised: January 4, 2023; Accepted: March 25, 2023; Published: September 1, 2023  Show citation