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      Multiple spontaneous coronary artery dissections associated with intravenous daunorubicin treatment for acute myelocytic leukaemia: a case report

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          Abstract

          Background

          Multiple spontaneous coronary artery dissection (SCAD) is a rare condition which may lead to serious consequences such as sudden cardiac death, acute myocardial infarction (AMI), and acute heart failure.

          Case summary

          In this paper, we report the case of a 57-year-old woman with acute myelocytic leukaemia who was undergoing her second phase of chemotherapy. After the first induction cycle of intravenous infusion of daunorubicin, the patient experienced chest pain, shortness of breath, and low blood pressure. The electrocardiograms revealed significant ST-elevation in the D1, aVL, and V2–V6 leads, which indicated AMI. Coronary catheterization showed spontaneous coronary dissection in the mid-left descending coronary artery and first obtuse marginal artery of the circumflex. The patient died immediately.

          Discussion

          This is the first reported case of multiple SCAD associated with intravenous (IV) daunorubicin infusion. We also reviewed the literature and proposed the mechanism of this complication.

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          Most cited references16

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          Towards definition, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation.

          F Taylor, C. Toh, W K Hoots … (2001)
          Article 0 comments Cited 294 times – based on 0 reviews     Review now
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            Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

            Sharonne N Hayes, Esther S.H. Kim, Jacqueline Saw … (2018)
            Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome, myocardial infarction, and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. Patient-initiated research has spurred increased awareness of SCAD, and improved diagnostic capabilities and findings from large case series have led to changes in approaches to initial and long-term management and increasing evidence that SCAD not only is more common than previously believed but also must be evaluated and treated differently from atherosclerotic myocardial infarction. High rates of recurrent SCAD; its association with female sex, pregnancy, and physical and emotional stress triggers; and concurrent systemic arteriopathies, particularly fibromuscular dysplasia, highlight the differences in clinical characteristics of SCAD compared with atherosclerotic disease. Recent insights into the causes of, clinical course of, treatment options for, outcomes of, and associated conditions of SCAD and the many persistent knowledge gaps are presented.
            Article 0 comments Cited 286 times – based on 0 reviews     Review now
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              Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes.

              Jacqueline Saw, Eve Aymong, Tara Sedlak … (2014)
              Nonatherosclerotic spontaneous coronary artery dissection (NA-SCAD) is underdiagnosed and an important cause of myocardial infarction in young women. The frequency of predisposing and precipitating conditions and cardiovascular outcomes remains poorly described.
              Article 0 comments Cited 220 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Mohamed Hassan: Role: Handling Editor
                Julien Adjedj: Role: Editor
                Milenko Zoran Cankovic: Role: Editor
                Stefan Simovic: Role: Editor
                Deepti Ranganathan: Role: Editor
                Journal
                Journal ID (nlm-ta): Eur Heart J Case Rep
                Journal ID (iso-abbrev): Eur Heart J Case Rep
                Journal ID (publisher-id): ehjcr
                Title: European Heart Journal: Case Reports
                Publisher: Oxford University Press
                ISSN (Electronic): 2514-2119
                Publication date Collection: January 2021
                Publication date (Electronic): 21 December 2020
                Publication date PMC-release: 21 December 2020
                Volume: 5
                Issue: 1
                Electronic Location Identifier: ytaa427
                Affiliations
                [1 ] Department of Cardiology, Military Heart Institute, 108 Central Military Hospital , No. 1 Tran Hung Dao street, Hai Ba Trung District, Hanoi 10000, Vietnam
                [2 ] Department of Intensive Care Unit, 108 Central Military Hospital , No. 1 Tran Hung Dao street, Hai Ba Trung District, Hanoi 10000, Vietnam
                [3 ] Department of Chemotherapy, 108 Central Military Hospital , No. 1 Tran Hung Dao street, Hai Ba Trung District, Hanoi 10000, Vietnam
                Author notes
                Corresponding author. Tel: +8 498 285 1506, Email: vmechiendo@ 123456yahoo.com
                Author information
                http://orcid.org/0000-0002-0965-3855
                http://orcid.org/0000-0001-9300-231X
                Article
                Publisher ID: ytaa427
                DOI: 10.1093/ehjcr/ytaa427
                PMC ID: 7898587
                PubMed ID: 33644638
                SO-VID: 4e171b42-fa6f-4c49-a285-ad0a09a6b7ef
                Copyright © © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                Date received : 06 April 2020
                Date revision received : 4 May 2020
                Date accepted : 26 October 2020
                Page count
                Pages: 5
                Categories
                Subject: Case Report
                Subject: AcademicSubjects/MED00200

                Keywords: case report,myocardial infarction,daunorubicin,acute myeloid leukaemia,electrocardiography,coronary artery dissection
                Data availability:
                Keywords: case report, myocardial infarction, daunorubicin, acute myeloid leukaemia, electrocardiography, coronary artery dissection

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