Recurrent Acute Coronary Syndrome in Spontaneous Coronary Artery Dissection
Anudeep Nakirikanti, Calla Khilnani, Omar Al Dhaybi, Umesh Gidwani, Daniella Kadian-Dodov, Daniel S Kikuchi · 2026
Read Recurrent Acute Coronary Syndrome in Spontaneous Coronary Artery Dissection by Anudeep Nakirikanti, Calla Khilnani, Omar Al Dhaybi, Umesh Gidwani, Daniella Kadian-Dodov, Daniel S Kikuchi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13571395.txt.
Description
Anudeep Nakirikanti and colleagues present, in a 2026 case, a 35-year-old with vascular Ehlers-Danlos syndrome who suffered repeated acute coronary events from spontaneous coronary artery dissection. The syndrome is a fragile-vessel genetic condition. The dissection, a tearing inside a heart artery wall, was found on CT angiography. Each episode brought renewed decisions about intervention.
After every event, a full heart team chose medicine alone, and symptoms settled without stenting or surgery. Few guidelines cover recurrent events in this setting, leaving teams to judge who truly needs a procedure. The authors argue that structured heart-team judgment, not habit, should drive care when evidence runs thin and vessels are fragile.
Catalog record
| CREATOR | Anudeep Nakirikanti, Calla Khilnani, Omar Al Dhaybi, Umesh Gidwani, Daniella Kadian-Dodov, Daniel S Kikuchi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 20 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |