A Rare Multi-vessel Spontaneous Coronary Artery Dissection Case Requiring Balloon Intervention

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. This case involves a multivessel SCAD requiring intervention. The patient is a 39-year-old woman suffering from a non-ST elevation myocardial infarction caused by SCAD. The first coronary angiography revealed changes suggestive of acute distal left anterior descending (LAD) spontaneous dissection with partial occlusion and changes suggestive of old distal left anterior circumflex artery and obtuse marginal spontaneous dissections. A repeated angiogram revealed total occlusion of the distal LAD. Balloon angioplasty was done to the distal LAD, achieving a good flow. This case highlights the importance of diagnosis and treatment of SCAD. This case enhances our knowledge of atypical SCAD presentation (multi-vessel and required intervention) and emphasizes the need for individualized management strategies for optimal outcomes in each case.