Clinical Characteristics of SpontaneousCoronary Artery Dissection inMiddle-Aged Men
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Abstract
Objectives: Spontaneous coronary artery dissection (SCAD) is a rare non-traumatic coronary event that can
manifest as acute coronary syndrome, although it is most commonly described in younger women, particularly in
pregnancy or postpartum. The aim of this study is to review SCAD in middle-aged males, with particular emphasis
on clinical presentation, angiographic features, and patient-specific therapeutic approaches. Methods: A case
series of 6 patients presenting to the hospital with SCAD is presented. Clinical assessment included evaluation of
basic characteristics, electrocardiogram, echocardiographic findings, and angiographic imaging for determination
of arterial involvement. Results: ST elevation was a common finding in this study. Angiography most frequently
demonstrated involvement of the right coronary artery with dissections predominantly involving distal arterial
segments. In two patients, evidence of a previously healed dissection was identified. Conclusion: This case series
highlights the rarity and complexity of SCAD in males, especially with concomitant involvement of multiple
coronary arteries and different vascular territories.
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