title: Multivessel spontaneous coronary artery dissection of left and right coronary systems.
abstract: Spontaneous coronary artery dissection (SCAD) involving multiple coronary arteries simultaneously is extremely rare. It should be considered in younger patients, especially who do not have traditional cardiac risk factors. We present a case of young male patient presenting with acute coronary syndrome associated with ST segments elevation on ECG following physical stress whose coronary angiography revealed SCAD of the left anterior descending as well as the right coronary artery and discuss the therapeutic options with a brief review of the limited evidence.
authors.affiliation: Department of Cardiology, The Northern Hospital, Melbourne, Australia.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Asrar Ul Haq
authors.forename: Vivek
authors.initials: V
authors.lastname: Mutha
authors.forename: William J
authors.initials: WJ
authors.lastname: van Gaal
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology