BMJ Case Reports 2010; doi:10.1136/bcr.06.2008.0221
  • Reminder of important clinical lesson

Spontaneous coronary artery dissection

  1. A R J Mitchell1,2
  1. 1Department of Cardiology, Jersey Heart & Lung Unit, Jersey, Channel Islands
  2. 2Oxford Heart Centre, John Radcliffe Hospital, Oxford, UK
  1. Correspondence to K N Asrress, kna{at}


We present a case of a 43-year-old lady who presented with an acute coronary syndrome, but without any cardiac risk factors or previous cardiac symptoms, and who had a spontaneous coronary artery dissection. This was successfully treated with percutaneous coronary intervention. A brief discussion of this clinical entity and literature review is presented.


  • Competing interests None.

  • Patient consent Obtained.

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