Spontaneous Coronary Artery Dissection in The Left Main Coronary Artery: A Case Report

Spontaneous coronary artery dissection (SCAD) can be defined as epicardial coronary artery dissection, which is not associated with trauma, atherosclerosis, or iatrogenesis. It is known that its incidence increases in the presence of some risk factors. In this case report; We wanted to present a case of a young-middle-aged female patient who had no risk factors other than a history of drug use, spontaneous left main coronary artery dissection was detected in coronary angiography and percutaneous coronary intervention was applied in the treatment. With typical chest pain, SCAD should be considered in young women with suspected myocardial infarction. Revascularization strategies may be preferred instead of conservative treatment in the high-risk patient group.