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Multivessel spontaneous coronary artery dissection of left and right coronary systems
  1. Muhammad Asrar ul Haq1,2,
  2. Vivek Mutha1,2,
  3. William J van Gaal1,2
  1. 1Department of Cardiology, The Northern Hospital, Melbourne, Australia
  2. 2Department of Medicine, University of Melbourne, Melbourne, Australia
  1. Correspondence to Dr Muhammad Asrar ul Haq, hissper{at}


Spontaneous coronary artery dissection (SCAD) involving multiple coronary arteries simultaneously is extremely rare. It should be considered in younger patients, especially who do not have traditional cardiac risk factors. We present a case of young male patient presenting with acute coronary syndrome associated with ST segments elevation on ECG following physical stress whose coronary angiography revealed SCAD of the left anterior descending as well as the right coronary artery and discuss the therapeutic options with a brief review of the limited evidence.

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