Primary percutaneous coronary intervention in spontaneous coronary dissection (SCAD): Clinical case report of an anterior STEMI patient

Spontaneous coronary artery dissection (SCAD) is a non-traumatic spontaneous separation of a coronary wall that can present as acute myocardial infarction. Here, we present a 60-year-old female with sudden onset of retrosternal chest pain and ST-segment elevation myocardial infarction (STEMI) secondary to spontaneous dissection of the left anterior descending (LAD) coronary artery. The patient was successfully managed with primary percutaneous coronary angioplasty (PPCI) with advanced coronary intervention techniques including intravascular coronary imaging technology and microcatheter assisted luminal wiring.