{"id":"https://openalex.org/W7214656164","doi":"https://doi.org/10.7759/cureus.117104","title":"Double-Vessel Involvement: A Case Report of Simultaneous Left Anterior Descending Artery (LAD) and Right Coronary Artery (RCA) Spontaneous Coronary Artery Dissection Causing Acute Coronary Syndrome","display_name":"Double-Vessel Involvement: A Case Report of Simultaneous Left Anterior Descending Artery (LAD) and Right Coronary Artery (RCA) Spontaneous Coronary Artery Dissection Causing Acute Coronary Syndrome","publication_year":2026,"publication_date":"2026-09-28","ids":{"openalex":"https://openalex.org/W7214656164","doi":"https://doi.org/10.7759/cureus.117104","pmid":"https://pubmed.ncbi.nlm.nih.gov/42959250","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13716715"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117104","doi":"https://doi.org/10.7759/cureus.117104","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117104","pdf_url":"https://www.cureus.com/articles/457881-double-vessel-involvement-a-case-report-of-simultaneous-left-anterior-descending-artery-lad-and-right-coronary-artery-rca-spontaneous-coronary-artery-dissection-causing-acute-coronary-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/457881-double-vessel-involvement-a-case-report-of-simultaneous-left-anterior-descending-artery-lad-and-right-coronary-artery-rca-spontaneous-coronary-artery-dissection-causing-acute-coronary-syndrome.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044363841","display_name":"Fawad Qadir","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Fawad Qadir","raw_affiliation_strings":["Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153336415","display_name":"Ali Hadi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"Ali Hadi","raw_affiliation_strings":["Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139353728","display_name":"Omar Mohammed Alhatou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Omar M Alhatou","raw_affiliation_strings":["Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101273150","display_name":"Omar F Hassan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Omar F Hassan","raw_affiliation_strings":["Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026917863","display_name":"Haidar Hadi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I151934421","display_name":"University of Northern British Columbia","ror":"https://ror.org/025wzwv46","country_code":"CA","type":"education","lineage":["https://openalex.org/I151934421"]},{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["CA","QA"],"is_corresponding":false,"raw_author_name":"Haidar M Hadi","raw_affiliation_strings":["Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT","Internal Medicine, University of Northern British Columbia, Prince George, CAN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology Department, Aisha Bint Hamad Al Attiyah Hospital, Hamad Medical Corporation, Doha, QAT","institution_ids":["https://openalex.org/I49828101"]},{"raw_affiliation_string":"Internal Medicine, University of Northern British Columbia, Prince George, CAN","institution_ids":["https://openalex.org/I151934421"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5153336415"],"corresponding_institution_ids":["https://openalex.org/I142762351"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71337782,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e117104","last_page":"e117104"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12230","display_name":"Cardiovascular Issues in Pregnancy","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12230","display_name":"Cardiovascular Issues in Pregnancy","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12082","display_name":"Takotsubo Cardiomyopathy and Associated Phenomena","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spontaneous-coronary-artery-dissection","display_name":"spontaneous coronary artery dissection","score":1.0},{"id":"https://openalex.org/keywords/multivessel-coronary-artery-dissection","display_name":"multivessel coronary artery dissection","score":0.8610000014305115},{"id":"https://openalex.org/keywords/left-anterior-descending-artery","display_name":"left anterior descending artery","score":0.9539999961853027},{"id":"https://openalex.org/keywords/right-coronary-artery","display_name":"right coronary artery","score":1.0},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":1.0},{"id":"https://openalex.org/keywords/ischemic-cardiomyopathy","display_name":"ischemic cardiomyopathy","score":0.8930000066757202},{"id":"https://openalex.org/keywords/apical-thrombus","display_name":"apical thrombus","score":0.8500000238418579},{"id":"https://openalex.org/keywords/subclavian-artery-occlusion","display_name":"subclavian artery occlusion","score":0.9900000095367432},{"id":"https://openalex.org/keywords/takayasu-arteritis","display_name":"Takayasu arteritis","score":0.9850000143051147},{"id":"https://openalex.org/keywords/vasculitis","display_name":"vasculitis","score":0.9649999737739563},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.8989999890327454},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.7580000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.988099992275238},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.746999979019165},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.7447999715805054},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7415000200271606},{"id":"https://openalex.org/C2909230263","wikidata":"https://www.wikidata.org/wiki/Q4797558","display_name":"Artery dissection","level":4,"score":0.7186999917030334},{"id":"https://openalex.org/C2778088351","wikidata":"https://www.wikidata.org/wiki/Q429285","display_name":"Right coronary artery","level":4,"score":0.6245999932289124},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.5016999840736389},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.37400001287460327},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.3391000032424927},{"id":"https://openalex.org/C2776857174","wikidata":"https://www.wikidata.org/wiki/Q7429613","display_name":"Scad","level":3,"score":0.32989999651908875},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.3212999999523163},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.26159998774528503}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117104","doi":"https://doi.org/10.7759/cureus.117104","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117104","pdf_url":"https://www.cureus.com/articles/457881-double-vessel-involvement-a-case-report-of-simultaneous-left-anterior-descending-artery-lad-and-right-coronary-artery-rca-spontaneous-coronary-artery-dissection-causing-acute-coronary-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13716715","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716715/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716715/pdf/cureus-0018-00000117104.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42959250","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42959250","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117104","doi":"https://doi.org/10.7759/cureus.117104","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117104","pdf_url":"https://www.cureus.com/articles/457881-double-vessel-involvement-a-case-report-of-simultaneous-left-anterior-descending-artery-lad-and-right-coronary-artery-rca-spontaneous-coronary-artery-dissection-causing-acute-coronary-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214656164.pdf","grobid_xml":"https://content.openalex.org/works/W7214656164.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W2044257558","https://openalex.org/W2124205447","https://openalex.org/W2614429085","https://openalex.org/W2793577196","https://openalex.org/W2940337890","https://openalex.org/W4308891935"],"related_works":["https://openalex.org/W2560172199","https://openalex.org/W4319943439","https://openalex.org/W4283640406","https://openalex.org/W4392229439","https://openalex.org/W2334862981","https://openalex.org/W3174954319","https://openalex.org/W4386478960","https://openalex.org/W2123269511","https://openalex.org/W2000337821","https://openalex.org/W3080432820"],"abstract_inverted_index":{"Spontaneous":[0],"coronary":[1,11,49,63],"artery":[2,59,64],"dissection":[3],"(SCAD)":[4],"is":[5],"a":[6,17,23,34],"rare":[7],"cause":[8],"of":[9,19,36,44,74,81,130],"acute":[10],"syndrome":[12],"(ACS).":[13],"Here,":[14],"we":[15],"describe":[16],"case":[18,126],"multivessel":[20,146],"SCAD":[21,52,132],"in":[22,53,122,133,143],"48-year-old":[24],"Indian":[25],"male":[26],"who":[27],"presented":[28],"with":[29,91,101,145],"ACS.":[30],"His":[31],"echocardiography":[32],"confirmed":[33,51],"picture":[35],"moderate":[37],"ischemic":[38],"cardiomyopathy":[39],"complicated":[40],"by":[41],"the":[42,55,75,79,104,128],"presence":[43],"an":[45,72],"apical":[46,108],"clot,":[47],"and":[48,61,97,119,136],"angiography":[50],"both":[54],"left":[56,105],"anterior":[57],"descending":[58],"(LAD)":[60],"right":[62],"(RCA).":[65],"He":[66,110],"was":[67,88,120],"also":[68],"found":[69],"to":[70],"have":[71],"occlusion":[73],"subclavian":[76],"artery,":[77],"raising":[78],"possibility":[80],"vasculitis,":[82],"including":[83],"Takayasu":[84],"arteritis.":[85],"The":[86],"patient":[87],"managed":[89],"conservatively":[90],"guideline-directed":[92],"medical":[93],"therapy":[94],"for":[95,103,138],"ACS":[96,134],"heart":[98],"failure,":[99],"along":[100],"anticoagulation":[102],"ventricular":[106],"(LV)":[107],"thrombus.":[109],"remained":[111],"hemodynamically":[112],"stable":[113,123],"without":[114],"recurrent":[115],"ischemia":[116],"or":[117,141],"arrhythmias":[118],"discharged":[121],"condition.":[124],"This":[125],"highlights":[127],"importance":[129],"considering":[131],"presentations":[135],"evaluating":[137],"associated":[139],"arteriopathies":[140],"vasculitis":[142],"patients":[144],"involvement.":[147]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-09-29T00:00:00"}