Qian J, Lai Y, Kuang LJ, Chen F, Liu XB. Spontaneous coronary dissection should not be ignored in patients with chest pain in autosomal dominant polycystic kidney disease: A case report. World J Clin Cases 2021; 9(13): 3095-3101 [PMID: 33969096 DOI: 10.12998/wjcc.v9.i13.3095]
Corresponding Author of This Article
Xue-Bo Liu, MD, Chief Doctor, Professor, Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, No. 389 Xincun Road, Putuo District, Shanghai 200065, China. 1911572@tongji.edu.cn
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2021; 9(13): 3095-3101 Published online May 6, 2021. doi: 10.12998/wjcc.v9.i13.3095
Spontaneous coronary dissection should not be ignored in patients with chest pain in autosomal dominant polycystic kidney disease: A case report
Jun Qian, Yan Lai, Li-Jun Kuang, Fei Chen, Xue-Bo Liu
Jun Qian, Yan Lai, Fei Chen, Xue-Bo Liu, Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China
Li-Jun Kuang, Department of Ultrasound, Luwan Branch, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200065, China
Author contributions: Qian J, Lai Y, Chen F and Liu XB were the patient’s cardiologists, reviewed the literature and contributed to manuscript drafting; Kuang LJ reviewed the literature and contributed to manuscript drafting; Qian J and Lai Y performed imaging findings; Chen F and Liu XB performed the diseases consultation, reviewed the literature and drafted the manuscript; all authors issued final approval for the version to be submitted.
Supported byThe National Natural Science Foundation of China, No. 81670403; Grant of Shanghai Science and Technology Committee, No. 18411950300, No. 19XD1403300, and No. 19411963200.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Bo Liu, MD, Chief Doctor, Professor, Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, No. 389 Xincun Road, Putuo District, Shanghai 200065, China. 1911572@tongji.edu.cn
Received: November 1, 2020 Peer-review started: November 1, 2020 First decision: January 10, 2021 Revised: January 23, 2021 Accepted: February 22, 2021 Article in press: February 22, 2021 Published online: May 6, 2021 Processing time: 172 Days and 6.2 Hours
Abstract
BACKGROUND
When autosomal dominant polycystic kidney disease (ADPKD) presents with acute coronary syndrome (ACS), the possibility of spontaneous coronary artery dissection (SCAD) should be highly considered. In some cases, SCAD is considered an extrarenal manifestation of ADPKD depending on the pathological characteristics of the unstable arterial wall in ADPKD.
CASE SUMMARY
Here, we report a 46-year-old female patient with ADPKD who presented with ACS. Coronary angiography revealed no definite signs of dissection, while intravascular ultrasound revealed a proximal to distal dissection of the left circumflex. After a careful conservative medication treatment, the patient exhibited favorable prognosis.
CONCLUSION
In cases of ADPKD co-existing with ACS, differential diagnosis of SCAD should be considered. Moreover, when no clear dissection is found on coronary angiography, IVUS should be performed to prevent missed diagnosis.
Core Tip: We report an acute chest pain patient with autosomal dominant polycystic kidney disease, the patient was ultimately diagnosed with spontaneous coronary artery dissection after a comprehensive intracoronary imaging. Therefore, coronary angiography and further intravascular imaging might be very essential for the diagnosis of autosomal dominant polycystic kidney disease accompanied by spontaneous coronary artery dissection.
