{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:27:49Z","timestamp":1786116469764,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is an infrequent etiology of acute coronary syndrome, characterized by its non\u2010atherosclerotic, non\u2010traumatic, and non\u2010iatrogenic nature. SCAD involving the left main coronary artery (LMCA) constitutes an especially severe manifestation of this condition. This report details a complex and critical case of LMCA SCAD in a 38\u2010year\u2010old female patient who presented with chest pain, syncope, cardiogenic shock, severe hypokalemia, and electrocardiographic changes consistent with De Winter syndrome. Initial urgent coronary angiography (CAG) revealed LMCA stenosis of 40%\u221250%. Subsequent CAG, supplemented by intravascular ultrasound, demonstrated a progression of LMCA stenosis to 70%\u221280% and the presence of a diffuse intramural hematoma within the LMCA. Patients with LMCA SCAD are at a heightened risk for short\u2010term complications. Therefore, prompt recognition and the implementation of appropriate management strategies are crucial.<\/jats:p>","DOI":"10.1002\/ccd.70766","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T10:00:56Z","timestamp":1786010456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Coronary Artery Dissection in a Young Women: A Case Report and Literature Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4153-7125","authenticated-orcid":false,"given":"Jiong","family":"Xiao","sequence":"first","affiliation":[{"name":"Department of Cardiology, Taihe Hospital Hubei University of Medicine Shiyan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaoyong","family":"He","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Taihe Hospital Hubei University of Medicine Shiyan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiyan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Taihe Hospital Hubei University of Medicine Shiyan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Taihe Hospital Hubei University of Medicine Shiyan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"3353","DOI":"10.1093\/eurheartj\/ehy080","article-title":"European Society of Cardiology, Acute Cardiovascular Care Association, SCAD Study Group: A Position Paper on Spontaneous Coronary Artery Dissection","volume":"39","author":"Adlam D.","year":"2018","journal-title":"European Heart Journal"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"e523","DOI":"10.1161\/CIR.0000000000000564","article-title":"Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association","volume":"137","author":"Hayes S. 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A Study of 9 Cases","volume":"33","author":"Desai S.","year":"2012","journal-title":"American Journal of Forensic Medicine and Pathology"},{"key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1161\/ATVBAHA.122.318401","article-title":"Coronary Artery Dissection and Myocardial Infarction With Nonobstructed Coronary Arteries: Insights From a UK Nationwide Autopsy\u2010Based Registry\u2010Brief Report","volume":"43","author":"Ciliberti G.","year":"2023","journal-title":"Arteriosclerosis, Thrombosis, and Vascular Biology"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijcard.2024.132331","article-title":"Spontaneous Coronary Artery Dissection (SCAD) With Cardiac Arrest at Presentation: A Subanalysis From the DISCO Registry","volume":"412","author":"Giacobbe F.","year":"2024","journal-title":"International Journal of Cardiology"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijcard.2026.134182","article-title":"Spontaneous Coronary Artery Dissection: Why Early Treatment Choices Matter","volume":"449","author":"Ciliberti G.","year":"2026","journal-title":"International Journal of Cardiology"},{"key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1002\/ccd.25293","article-title":"Coronary Angiogram Classification of Spontaneous Coronary Artery Dissection","volume":"84","author":"Saw J.","year":"2014","journal-title":"Catheterization and Cardiovascular Interventions"},{"key":"e_1_2_10_17_1","first-page":"1252","article-title":"Coronary Computed Tomography Angiography for the Diagnosis of Spontaneous Coronary Artery Dissection: A Prospective Study","volume":"17","author":"Pagonis C.","year":"2024","journal-title":"JACC: Cardiovascular Imaging"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.cjco.2020.04.010","article-title":"Usefulness of Cardiac Computed Tomography in Spontaneous Coronary Artery Dissection","volume":"2","author":"Turcotte\u2010Gosselin F.","year":"2020","journal-title":"CJC Open"},{"key":"e_1_2_10_19_1","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/RCT.0000000000000255","article-title":"Diagnosis of Dissection of the Coronary Artery Dissection by Multidetector Computed Tomography: A Comparative Study With Coronary Angiology","volume":"39","author":"Sun Y.","year":"2015","journal-title":"Journal of Computer Assisted Tomography"},{"key":"e_1_2_10_20_1","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1177\/2048872616687098","article-title":"Spontaneous Coronary Artery Dissection: Challenges of Coronary Computed Tomography Angiography","volume":"7","author":"Eleid M. 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