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The true incidence of <jats:styled-content style=\"fixed-case\">SCAD<\/jats:styled-content> is underestimated, as most cases are diagnosed at autopsy. The pathophysiology of <jats:styled-content style=\"fixed-case\">SCAD<\/jats:styled-content> is still not fully understood, and its management can be challenging. This report describes a 35\u2010year\u2010old pregnant female who presented with an acute antero\u2010lateral <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content> elevation secondary to spontaneous dissection of the left anterior descending artery and the circumflex artery. The diagnosis was established by coronary artery angiography. However, the patient died following cardiac tamponade. The examination of this case represented a starting point for the reviewing of the diagnosis, clinical course, and management of <jats:styled-content style=\"fixed-case\">SCAD<\/jats:styled-content>, and for the placing of this in context with the existing literature. This study highlights the importance of prompt diagnosis and subsequent lifesaving treatment.<\/jats:p>","DOI":"10.1111\/1556-4029.12722","type":"journal-article","created":{"date-parts":[[2015,2,12]],"date-time":"2015-02-12T18:19:09Z","timestamp":1423765149000},"page":"801-806","source":"Crossref","is-referenced-by-count":21,"title":["Spontaneous Coronary Artery Dissection: Case Report and Literature Review"],"prefix":"10.1111","volume":"60","author":[{"given":"Cristian","family":"D'Ovidio","sequence":"first","affiliation":[{"name":"Section of Legal Medicine Department of Medicine and Aging Sciences \u2018G. d'Annunzio\u2019 University of Chieti\u2013Pescara Via dei Vestini, 31 66100 Chieti Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Sablone","sequence":"additional","affiliation":[{"name":"Section of Legal Medicine Department of Medicine and Aging Sciences \u2018G. d'Annunzio\u2019 University of Chieti\u2013Pescara Via dei Vestini, 31 66100 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