Abstract
Spontaneous coronary artery dissection (SCAD) is one of the rare causes of acute coronary syndrome. Regarding the etiology, it is classified broadly into 2 groups: atherosclerotic and non-atherosclerotic. It is more common in females and left anterior descending coronary artery is the most commonly involved artery. Optimal therapy for SCAD is not well-defined. Treatment options include a conservative approach, percutaneous intervention, and bypass grafting surgery. We present an old woman with three-vessel SCAD. She was admitted with acute coronary syndrome. By angiography, SCAD was identified in all three coronary arteries. Her case was discussed by our heart team and she underwent bypass surgery. Her postoperative course was uneventful and she was discharged from the hospital in good clinical condition.
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