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Idiopathic spontaneous coronary artery dissection: a case report.

Spontaneous coronary artery dissection frequently causes death, and most cases are diagnosed at autopsy. In most cases the affected persons are young pregnant females or women in the early postpartum period. We report a case of a female aged 36. She complained of acute chest pain and had ventricular fibrillation. She recovered after successful defibrillation. The coronary angiogram revealed dissection in the proximal left anterior descending artery. ST segment elevation was demonstrated on the electrocardiogram and the patient continued to have chest pains and underwent a coronary bypass operation. The etiology of spontaneous coronary artery dissection is still obscure and is mostly seen in young females. Early surgical intervention and stenting may save lives.