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  • ISSN: 2333-6676
    Volume 7, Issue 1
    Case Report
    Moaziz Sarfaraz*, Abdulla Alhajiri, and Syeda Rana Hasan
    Extensive coronary artery dissection is an uncommon presentation of acute coronary syndrome (ACS). The etiology is unknown. Hemodynamic modification, hormonal transformations, revision in autoimmune status, peri and post-partum stress in females has been postulated as the possible factors. High index of suspicion plays a major role in the diagnosis and hence urgent intervention can be requisite. Early diagnosis followed by meticulous measures can lead to a successful outcome. Management options can range from conservative therapy to Coronary Artery Bypass Graft (CABG). Medical treatment is reserved for uncomplicated cases. We have the opportunity to present a unique case of extensive Spontaneous Coronary Artery Dissection (SCAD) which was treated initially conservatively then escalated to CABG.
    Shogo Sakamoto*, Tomoya Yanagishita, Miwa Kanai, Kim Andrew T, Yuta Yoshisako, Takayuki Yamada, Shohei Matsumoto, Yusuke Kure, Takashi Nakatsuji, Kenji Tamura, Tomokazu Iguchi, Toru Kataoka, and Minoru Yoshiyama
    Twiddler and Reel syndromes are rare complications causing lead dislodgement. Twiddler syndrome, whereby twisting or rotating of the device over the long axis in its pockets, results in lead dislodgement and device malfunction. Previous reports showed unique device design easily caused Twiddler syndrome and lead dislodgement. The majority of lead dislodgement occurred in the perioperative time. However, we present a rare case a unique device design that caused Twiddler syndrome and resulted in lead displacement during the late phase after implantation.
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