Spontaneous Coronary Artery Dissection: Case Report and Review of the Literature

Primary or spontaneous coronary artery dissection is a very rare condition. These cases have no significant risk factors for coronary artery disease. A 38- year-old female patient applied to hospital with angina pectoris. Cardiac enzyme studies were normal. There was no substantial change in the ECG. Next day typical angina pectoris vesumed and newly onset T wave negativity was noted in the ECG. She had no risk factors except for smoking. In the coronary angiograms dissection in the midportion of left anterior descending coronary artery was recognised teshich was bypassed with left internal thoracic artery in situ graft. Therapeutical options were reviewed.