Multivessel Spontaneous Coronary Artery Dissection in a 52‐Year‐Old Male: A Case Report and Review of Literature

Spontaneous coronary artery dissection (SCAD) is a rare but underrecognized cause of acute coronary syndrome. It is mostly reported in female patients. In this report, however, we describe this rare and unique case of multivessel SCAD in a 52-year-old man. He was presented with chest pain, significant elevated cardiac troponin level, and T-wave changes in electrocardiogram. Coronary angiography showed multivessel SCAD involving his circumflex and right coronary arteries. The patient was conservatively managed. He has recovered well and was discharged a week after admission. Coronary angiography is still considered the gold standard for diagnosis of multivessel SCAD. Conservative treatment is recommended in most conditions unless there is a necessity for interventional treatment.