Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2022; 10(7): 2341-2350
Published online Mar 6, 2022. doi: 10.12998/wjcc.v10.i7.2341
Spontaneous dissection of proximal left main coronary artery in a healthy adolescent presenting with syncope: A case report
Sui-Feng Liu, Ya-Nan Zhao, Chun-Wen Jia, Tian-Yi Ma, Shi-Da Cai, Feng Gao
Sui-Feng Liu, Ya-Nan Zhao, Chun-Wen Jia, Tian-Yi Ma, Shi-Da Cai, Feng Gao, Department of Cardiology, Zhongshan Hospital, Xiamen University, Xiamen 361000, Fujian Province, China
Author contributions: Liu SF contributed to the design of the study and drafted the manuscript; Zhao YN, Cai SD and Gao F performed emergent coronary angiography and percutaneous coronary intervention; Jia CW generated the figures and tables; Ma TY contributed to patient management; Gao F conceived the project and acted as project leader; all authors revised the manuscript critically for important intellectual content and approved the submitted manuscript.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Feng Gao, MD, Chief Doctor, Department of Cardiology, Zhongshan Hospital, Xiamen University, No. 201 Hubin South Road, Xiamen 361000, Fujian Province, China. doctor_will@sina.com
Received: October 9, 2021
Peer-review started: October 9, 2021
First decision: November 17, 2021
Revised: November 29, 2021
Accepted: January 19, 2022
Article in press: January 19, 2022
Published online: March 6, 2022
Processing time: 143 Days and 18.2 Hours
Core Tip

Core Tip: Spontaneous coronary artery dissection in adolescents is rare. Few such cases have been reported in the existing peer-reviewed medical literature, highlighting the value of documenting the present case. We report a 16-year-old Chinese female case. We performed percutaneous coronary intervention assisted by intra-aortic balloon pump for the left main trunk coronary artery lesion. A good prognosis was confirmed at the 24-mo. follow-up.