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

ABSTRACT 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.