Three-vessel spontaneous coronary artery dissection in a patient with hyperhomocysteinemia.
Hyperhomocysteimemia
Methylenetetrahydrofolate reductase
Spontaneous coronary artery dissection
Journal
Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
22
04
2021
revised:
25
08
2021
accepted:
05
09
2021
entrez:
9
3
2022
pubmed:
10
3
2022
medline:
10
3
2022
Statut:
epublish
Résumé
Increased homocysteine has been related to the occurrence of dissections in the coronary circulation, aorta, and cervical arteries. Spontaneous coronary artery dissection (SCAD) is a relatively rare phenomenon, and data on the long-term follow-up of patients with SCAD are extremely limited. Herein, we describe a case of a young male patient with 3-vessel SCAD (presence of radiolucent linear defects indicating the presence of dissections in all three major coronary arteries) who was found to have hyperhomocysteinemia and a concurrent methylenetetrahydrofolate reductase prothrombotic mutation. Despite the presence of multi-vessel SCAD, the patient had clinically stable coronary artery disease for a long period. <
Identifiants
pubmed: 35261707
doi: 10.1016/j.jccase.2021.09.003
pii: S1878-5409(21)00149-3
pmc: PMC8888715
doi:
Types de publication
Case Reports
Langues
eng
Pagination
182-184Informations de copyright
© 2021 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest.
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