Abstract

Spontaneous coronary artery dissection is a rare and unusual cause of acute myocardial infarction and sudden cardiac death. A 46-year-old man with history of Hypertension and smoking since from past 15 years, presented with angina. He had a positive Cardiac Troponin levels, and coronary angiography showed dissection of all major coronary vessels. Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction (MI) and sudden cardiac death. Women, especially in the postpartum period, appear to be more commonly affected than men. The most common mode of presentation is that of sudden onset myocardial ischemia in the absence of any previous history of heart disease. The present rare case reports a middle aged man who presented with anginal chest pain and coronary angiography showed coronary dissection of all major coronary vessels.

Keywords: Angina; Angiography; Coronary artery; Dissection; Spontaneous coronary dissection