Cardiovascular research institute, Isfahan University of Medical Sciences ARYA Atherosclerosis Journal 1735-3955 10 2 2014 03 01 A rare case of stenting of spontaneous dissection of Shepherd’s Crook right coronary artery 129 132 10404 EN Laxman Dubey Department of Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal Journal Article 2013 04 16 BACKGROUND: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) and sudden death. It usually occurs in young women during the peripartum period; however, it had also been reported in older aged males having risk factors for atherosclerotic coronary artery disease. CASE REPORT: This case describes a 69-year-old male patient who presented with manifestations of ACS due to a spontaneous dissection of the Shepherd’s Crook right coronary artery (RCA), which was successfully managed with percutaneous coronary intervention (PCI) and stenting. At the 6th month follow-up, the patient remained chest pain free. CONCLUSION: Patients with SCAD in the presence of ongoing ischemia can be treated with PCI and stenting.   Keywords: Acute Coronary Syndrome, Percutaneous Coronary Intervention, Shepherd’s Crook Right Coronary Artery, Spontaneous Coronary Artery Dissection  https://arya.mui.ac.ir/article_10404_0a5052334511e344f15ae0bfafd47a67.pdf