Abstract
Spontaneous coronary artery dissection is defined as non-iatrogenic epicardial coronary dissection, not associated with atherosclerosis or trauma. Myocardial injury occurs due to coronary artery obstruction caused by intramural hematoma or intimal disruption, rather than atherosclerotic plaque rupture or intraluminal thrombus. We report a case of type 2 variant A spontaneous coronary artery dissection in the mid left anterior descending artery, presenting with type A Wellens’ syndrome, which required percutaneous coronary intervention for relief of refractory angina and pulmonary congestion.
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