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Spontaneous coronary artery dissection: an uncommon primary presenting feature of fibromuscular dysplasia
  1. David Gerard Pelan
  1. Cardiology, South Eastern Health and Social Care Trust, Belfast, UK
  1. Correspondence to Dr David Gerard Pelan; dpelan01{at}


Spontaneous coronary artery dissection is a rare but increasingly recognised cause of acute coronary syndrome particularly in young women, accounting for up to 25% of acute coronary syndrome cases in women under 50. It is, however, an uncommon primary presenting pathology of underlying fibromuscular dysplasia. We present the case of a woman in her 40s, with no significant medical history, presenting with anterior ST elevation myocardial infarction, identified as spontaneous coronary artery dissection on invasive coronary angiogram with an underlying aetiology, and subsequent diagnosis, of fibromuscular dysplasia being established on MR angiography.

  • Cardiovascular medicine
  • Interventional cardiology
  • Ischaemic heart disease
  • Clinical diagnostic tests
  • Radiology (diagnostics)

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  • Contributors DGP was the sole author of this case report including obtaining patient consent and sourcing of images figured. The author would like to thank the cardiology consultant who provided and cared for the patient detailed in this case report. The cardiology consultant approved but did not coauthor or provide any input into the composition of this case report. The author would also like to thank the radiology consultant who reported the MRA thoracic aorta for their assistance in review of MRA images sourced.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.