Case ReportCase Report and Review: Epicardial Coronary Artery Fibromuscular Dysplasia
Section snippets
Case Report
We present a case of a 34-year-old female who presented with right arm weakness and slurred speech that resolved within 24 h. She was diagnosed as having suffered a transient ischaemic attack. She had no symptoms of chest pain, dyspnoea, systemic influenza like illness, fevers, rash or arthritis.
The patient had a past history of schizophrenia. She had no other past medical history. She did not have a family history of cardiovascular disease or familial dyslipidaemia. She was an active tobacco
Discussion and Literature Review
We describe the first published antemortem case of FMD of the epicardial coronary arteries presenting as a thromboembolic transient ischaemic attack due to a silent myocardial infarct with associated intracardiac thrombus. We also believe that this is the first reported antemortem case of FMD of the epicardial coronary arteries with involvement of both lower limbs but with sparing of the renal arteries.
FMD is a non inflammatory, non atherosclerotic vasculopathy that can affect arteries or veins
Conclusion
We present a case of a 34-year-old woman with presumptive epicardial coronary artery FMD causing silent myocardial infarction with subsequent intracardiac thrombus and resultant thromboembolic transient ischaemic attack. This case further supports the likelihood that the typical angiographic appearance of epicardial coronary artery FMD is characterised by diffuse involvement of various segments of the LAD with the possible involvement of other coronary vessels. Significantly however, our case
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