Published online Dec 26, 2014. doi: 10.4330/wjc.v6.i12.1290
Revised: October 15, 2014
Accepted: November 7, 2014
Published online: December 26, 2014
Processing time: 101 Days and 8.8 Hours
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.
Core tip: In this case report, we discussed a patient who had a rare disease called spontaneous coronary artery dissection simultaneously in two different coronary arteries causing acute myocardial infarction. The presence of muscular bridge and spontaneous coronary artery dissection together at the same site of the left anterior descending artery was another interesting point which made us report this case.