Abstract :
BACKGROUND: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute
coronary syndrome (ACS) and sudden death. It usually occurs in young women during the
peripartum period; however, it had also been reported in older aged males having risk factors
for atherosclerotic coronary artery disease.
CASE REPORT: This case describes a 69-year-old male patient who presented with
manifestations of ACS due to a spontaneous dissection of the Shepherd’s Crook right coronary
artery (RCA), which was successfully managed with percutaneous coronary intervention (PCI)
and stenting. At the 6th month follow-up, the patient remained chest pain free.
CONCLUSION: Patients with SCAD in the presence of ongoing ischemia can be treated with PCI
and stenting.
