Spot Stenting of Spontaneous Coronary Artery Dissection in a Patient Presenting with Anterior Wall ST Elevation Myocardial Infarction

Background: Spontaneous Coronary Artery Dissection (SCAD) is a lesser recognized cause of myocardial infarction. Although some etiologies are suggested, the specific cause might not be identified in many cases. Many patients are the women in peri-partum or childbearing age with no significant atherosclerotic risk factors and who will undergo conservative or interventional treatment with close follow-up. Case Report: We report a case of SCAD patient who was diagnosed and treated in university hospital of Sina, Tehran, Iran. She had dissection in the middle and distal part of Left Anterior Descending artery (LAD) which was managed invasively with Percutaneous Coronary Intervention (PCI). Conclusion: Clinicians should have reasonable suspicion of SCAD, especially in young female patients with no apparent atherosclerotic risk factors who complain of Chest pain with signs of cardiac ischemia. Interventional cardiologists are to know SCAD diagnosis, management and follow up.