Document Type : Case Report


Department of Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal


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