Spontaneous coronary artery dissection and exogenous estrogen in a transgender female.
- Resource Type
- Report
- Authors
- Hirsch K; Department of Medicine, Universtity of Washington, Seattle, Washington, USA.; Yogeswaran V; Division of Cardiology, University of Washington, Seattle, Washington, USA.; Dean LS; Division of Cardiology, University of Washington, Seattle, Washington, USA.
- Source
- Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE
- Subject
- Language
- English
We report the case of a 37-year-old transgender patient with a history of orchiectomy on gender-affirming estrogen therapy who was hospitalized with an acute onset of chest pain with a resolution shortly after the presentation. On presentation, the patient had a rapid rise in troponin level and was urgently taken to the cardiac catheterization lab where spontaneous coronary artery dissection was diagnosed and treated with cutting balloon angioplasty and medical management. After a multidisciplinary discussion, the only notable risk factor was estrogen supplementation after gender reassignment surgery. To our knowledge, this is the only report of a male to female transgender patient reported to have spontaneous coronary artery dissection.
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