Spontaneous Coronary Artery Dissection Complicated by Left Ventricular Free Wall Rupture in Turner Syndrome

Brendan F Caprio; Kunal Kotkar; Alan Zajarias; Alan C Braverman

doi:10.1016/j.jaccas.2022.09.021

Spontaneous Coronary Artery Dissection Complicated by Left Ventricular Free Wall Rupture in Turner Syndrome

JACC Case Rep. 2022 Nov 6:8:101654. doi: 10.1016/j.jaccas.2022.09.021. eCollection 2023 Feb 15.

Authors

Brendan F Caprio¹, Kunal Kotkar², Alan Zajarias¹, Alan C Braverman¹

Affiliations

¹ Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
² Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Abstract

A 38-year-old with Turner syndrome presented with acute myocardial infarction due to multivessel spontaneous coronary artery dissection (SCAD) complicated by left ventricular free wall rupture. Conservative management for SCAD was pursued. She underwent sutureless repair for an oozing-type left ventricular free wall rupture. SCAD has not been previously reported in Turner syndrome. (Level of Difficulty: Advanced.).

Keywords: ACS, acute coronary syndrome; CT, computed tomography; DAPT, dual antiplatelet therapy; DKA, diabetic ketoacidosis; ECG, electrocardiogram; LVFWR, left ventricular free wall rupture; PCI, percutaneous coronary intervention; PEA, pulseless electrical activity; SCAD, spontaneous coronary artery dissection; TS, Turner syndrome; acute coronary syndrome; cardiovascular disease; myocardial infarction.

Publication types

Case Reports