{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:02:58Z","timestamp":1783987378471,"version":"3.55.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that is often misdiagnosed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We describe a case of multi-vessel SCAD in a 73-year-old patient with no evidence of fibromuscular dysplasia that is presented with Type A aortic dissection after undergoing an ascending aorta and aortic arch replacement with stent placement in the abdominal aorta. The use of percutaneous coronary intervention with cutting balloons and drug-eluting stent implantation helped wean the patient off extracorporeal membrane oxygenation successfully.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>To our knowledge, this is the first reported case of multi-vessel SCAD presenting concomitantly with aortic dissection. More research is needed to help understand the pathophysiology of the two conditions as well as possible links between them.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac263","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T04:52:58Z","timestamp":1656391978000},"source":"Crossref","is-referenced-by-count":2,"title":["Multi-vessel spontaneous coronary artery dissection in a patient with aortic dissection: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6317-353X","authenticated-orcid":false,"given":"Motasem","family":"Alyamani","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute, University of Alberta , Edmonton, Alberta T6G 2S2 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5400-0346","authenticated-orcid":false,"given":"Amir","family":"Aziz","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute, University of Alberta , Edmonton, Alberta T6G 2S2 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2050-6717","authenticated-orcid":false,"given":"Jeevan","family":"Nagendran","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute, University of Alberta , Edmonton, Alberta T6G 2S2 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert C","family":"Welsh","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute, University of Alberta , Edmonton, Alberta T6G 2S2 , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,28]]},"reference":[{"key":"2022070803373450300_ytac263-B1","doi-asserted-by":"publisher","first-page":"e523","DOI":"10.1161\/CIR.0000000000000564","article-title":"Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association","volume":"137","author":"Hayes","year":"2018","journal-title":"Circulation"},{"key":"2022070803373450300_ytac263-B2","doi-asserted-by":"publisher","first-page":"2358","DOI":"10.1056\/NEJMra2001524","article-title":"Spontaneous coronary-artery dissection","volume":"383","author":"Kim","year":"2020","journal-title":"New Engl J Med"},{"key":"2022070803373450300_ytac263-B3","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1093\/eurheartj\/ehz007","article-title":"Canadian spontaneous coronary artery dissection cohort study: in-hospital and 30-day outcomes","volume":"40","author":"Saw","year":"2019","journal-title":"Eur Heart J"},{"key":"2022070803373450300_ytac263-B4","doi-asserted-by":"publisher","first-page":"1672","DOI":"10.1016\/j.amjcard.2015.03.011","article-title":"Prevalence of extracoronary vascular abnormalities and fibromuscular dysplasia in patients with spontaneous coronary artery dissection","volume":"115","author":"Prasad","year":"2015","journal-title":"Am J Cardiol"},{"key":"2022070803373450300_ytac263-B5","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.jcin.2012.08.017","article-title":"Spontaneous coronary artery dissection: prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort","volume":"6","author":"Saw","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"key":"2022070803373450300_ytac263-B6","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1136\/hrt.2008.162073","article-title":"Spontaneous coronary artery dissection","volume":"96","author":"Vrints","year":"2010","journal-title":"Heart"},{"key":"2022070803373450300_ytac263-B7","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1016\/j.jacc.2017.06.053","article-title":"Spontaneous coronary artery dissection: clinical outcomes and risk of recurrence","volume":"70","author":"Saw","year":"2017","journal-title":"J Am College Cardiol"},{"key":"2022070803373450300_ytac263-B8","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1136\/hrt.74.2.112","article-title":"Myocardial infarction resulting from coronary artery dissection in an adolescent with Ehlers-Danlos syndrome type IV due to a type III collagen mutation","volume":"74","author":"Ad\u00e8s","year":"1995","journal-title":"Br Heart J"},{"key":"2022070803373450300_ytac263-B9","first-page":"841","article-title":"[Peripheral and coronary artery dissections in a young woman. 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