Triple vessel spontaneous coronary artery dissection in the young patient: A case report

Abstract

In late years spontaneous coronary artery dissection (SCAD) had emerging as a non-atherosclerotic cause of acute coronary syndrome (ACS).We report an interesting case of a young male patient presenting to an emergency with substernal chest discomfort with positive troponin and electrocardiogram changes consistent with NSTEMI.Percutaneous Coronary Intervention (PCI) was initiated following ACS PROTOCOL, which found a critical three-vessel spontaneous coronary artery dissection (SCAD) that Cardiothoracic Surgery is recommending FOR Coronary Artery Bypass Grafting (CABG).The clinical status of the patient had a full recovery with cardiac rehabilitation and was discharged on postoperative on day five with outpatient follow-up.Our aim is to incorporate this interesting case report into the current literature and help improve early diagnosis and treatment based on current recommendations.