{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:49Z","timestamp":1787120749840,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"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":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is an uncommon, non\u2010atherosclerotic cause of acute coronary syndrome, typically occurring in young to middle\u2010aged women. Although most cases resolve spontaneously with conservative therapy, a small proportion develop chronic dissections that require revascularization. We report the case of a 39\u2010year\u2010old Ethiopian woman with a 7\u2010year history of coronary artery disease who had been managed medically but presented with worsening exertional chest pain. Invasive coronary angiography during the current presentation demonstrated a long\u2010segment dissection of the left anterior descending (LAD) artery along with a 60% mid\u2010right coronary artery (RCA) stenosis of uncertain etiology. Coronary angiography performed 1\u2009year and 5\u2009months earlier had shown a proximal LAD dissection and a 50% mid\u2010RCA stenosis. Despite prolonged medical therapy, her symptoms persisted. She subsequently underwent successful coronary artery bypass grafting (CABG), with an uneventful perioperative course. This case highlights the rare occurrence of chronic SCAD with persistent ischemia despite conservative therapy. It underscores the potential role of follow\u2010up coronary angiography in selected symptomatic patients to guide individualized management. CABG may be considered in refractory cases when medical therapy fails and PCI is not feasible or unlikely to achieve durable revascularization.<\/jats:p>","DOI":"10.1002\/ccr3.72996","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:48:27Z","timestamp":1782398907000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Spontaneous Coronary Artery Dissection in a Young Woman Managed With Coronary Artery Bypass Grafting: A Case Report With Literature Review"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2233-9270","authenticated-orcid":false,"given":"Gashaw","family":"Solela","sequence":"first","affiliation":[{"name":"Department of Cardiology, College of Health Sciences Addis Ababa University  Addis Ababa 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