International Journal of Cardiovascular Sciences. 05/ago/2024;37:e20230135.
Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report
Isabela Martins Rodrigues
, Dennis Miguel Lemos da Silva
, Fabiane Mian de Souza
, Gustavo Nahuel Leyes Ontivero
, Rodrigo Penha de Almeida
, João Lucas O’Connel
Introduction
Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndrome. SCAD involves the spontaneous formation of an intramural hematoma in coronary arteries, frequently presenting as severe acute-onset chest pain. Although extremely rare, cases of acute ischemic stroke (AIS) secondary to SCAD have been reported in the literature,,none of which were secondary to intracoronary thrombus displacement.
In this report, we present the case of a 39-year-old man with no atherosclerotic risk factors who presented with AIS and myocardial infarction secondary to SCAD.
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Palavras-chave: Blood Vessel Dissection; Acute Coronary Syndrome; Ischemic Stroke
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