title: Spontaneous coronary artery dissection as a cause of myocardial infarction.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare disease that is usually seen in young women in left descending coronary artery and result in events like sudden cardiac death and acute myocardial infarction. A 70-year-old man was admitted to the emergency department with chest pain which started 1 h ago during a relative's funeral. The initial electrocardiography demonstrated 2 mm ST-segment depression in leads V1-V3 and the patient underwent emergent coronary angiography. SCAD simultaneously in two different coronary arteries [left anterior descending (LAD) artery and left circumflex (LCx)] artery was detected and SCAD in LCx artery was causing total occlusion which resulted in acute myocardial infarction. Successful stenting was performed thereafter for both lesions. In addition to the existence of SCAD simultaneously in two different coronary arteries, the presence of muscular bridge and SCAD together at the same site of the LAD artery was another interesting point which made us report this case.
authors.affiliation: Aytekin Aksakal, Uğur Arslan, Mehmet Yaman, Mehmet Urumdaş, Ahmet Hakan Ateş, Department of Cardiology, Samsun Education and Research Hospital, Samsun 55400, Turkey.
authors.forename: Aytekin
authors.initials: A
authors.lastname: Aksakal
authors.affiliation: Aytekin Aksakal, Uğur Arslan, Mehmet Yaman, Mehmet Urumdaş, Ahmet Hakan Ateş, Department of Cardiology, Samsun Education and Research Hospital, Samsun 55400, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Arslan
authors.affiliation: Aytekin Aksakal, Uğur Arslan, Mehmet Yaman, Mehmet Urumdaş, Ahmet Hakan Ateş, Department of Cardiology, Samsun Education and Research Hospital, Samsun 55400, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yaman
authors.affiliation: Aytekin Aksakal, Uğur Arslan, Mehmet Yaman, Mehmet Urumdaş, Ahmet Hakan Ateş, Department of Cardiology, Samsun Education and Research Hospital, Samsun 55400, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Urumdaş
authors.affiliation: Aytekin Aksakal, Uğur Arslan, Mehmet Yaman, Mehmet Urumdaş, Ahmet Hakan Ateş, Department of Cardiology, Samsun Education and Research Hospital, Samsun 55400, Turkey.
authors.forename: Ahmet Hakan
authors.initials: AH
authors.lastname: Ateş
keywords: Acute coronary syndrome; Coronary artery disease; Coronary artery dissection; Myocardial bridge; Myocardial infarction