Case Report
Copyright ©The Author(s) 2022.
World J Clin Cases. Mar 6, 2022; 10(7): 2341-2350
Published online Mar 6, 2022. doi: 10.12998/wjcc.v10.i7.2341
Table 1 Laboratory data
Complete blood countand coagulation function
Blood biochemistry tests
Cardiac biomarkers and inflammation markers
WBC (109/L)7.25ALT (U/L)61.3hs-CTnT (ng/L)1511
NEUT (109/L)5AST (U/L)67CK (U/L)142.9
NEUT, %68.9ALP (U/L)154CK-MB (U/L)16.5
LY, %25.2γ-GTP (U/L)127.2LDH (U/L)440.7
MONO, %5.5BUN (mmol/L)4.35NT-proBNP (ng/L)1535
EOS, %0.3Cr (µmol/L)49.7CRP (mg/L)8.42
BASO, %0.1UA (µmol/L)399.5ESR (mm/h)11.4
RBC (1012/L)3.83HbA1c, %5.5RF (IU/mL)0
Hb (g/L)119Glucose (mmol/L)7.56Complement C3 (g/L)1.13
PLT (109/L)237TC (mmol/L)3.7Complement C4 (g/L)0.27
D-dimmer (mg/L)1.5TG (mmol/L)0.74Antinuclear AntibodiesNegative
PT (s)11.9LDL-C (mmol/L)2.15Antineutrophil cytoplasmic antibodiesNegative
APTT (s)28.6HDL-C (mmol/L)1.09Aticardiolipin antibodyNegative
Table 2 Previous cases reported as spontaneous coronary artery dissection in children and adolescents in English literature
Ref.
Age/Sex
Site
Clinical presentation
Treatment
Possible triggers
Kothari et al[22], 200717/BoyLCXUnknownUnknownSLE
Rohit et al[23], 200814/BoyLMTUnknownMedical treatmentUnknown
Uyar et al[17], 201217/GirlLADChest painCABGNeurofibromatosis
Polat et al[18], 201313/BoyLADChest painMedical treatmentCaffeinated “energy drinks”
Cropp et al[19], 201314/GirlLMTChest painCABGHeavy exercise
Herry et al[21], 201318/BoyLADAsymptomaticMedical treatmentUnknown
Stammschulte et al[20], 20206/BoyRCAChest painPCIMethylphenidate use