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We present the case of a woman in her 40s, with no significant medical history, presenting with anterior ST elevation myocardial infarction, identified as spontaneous coronary artery dissection on invasive coronary angiogram with an underlying aetiology, and subsequent diagnosis, of fibromuscular dysplasia being established on MR angiography.<\/jats:p>","DOI":"10.1136\/bcr-2022-253508","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T10:30:12Z","timestamp":1670841012000},"page":"e253508","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous coronary artery dissection: an uncommon primary presenting feature of fibromuscular dysplasia"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4444-1118","authenticated-orcid":false,"given":"David Gerard","family":"Pelan","sequence":"first","affiliation":[{"name":"Cardiology, South Eastern Health and Social Care Trust, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"2025082704094719000_15.12.e253508.1","first-page":"159","article-title":"Spontaneous coronary artery dissection: a case report","volume":"10","author":"Mokhberi","year":"2015","journal-title":"J Tehran Heart Cent"},{"key":"2025082704094719000_15.12.e253508.2","doi-asserted-by":"publisher","DOI":"10.1097\/00045415-200209000-00004"},{"key":"2025082704094719000_15.12.e253508.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF03086176"},{"key":"2025082704094719000_15.12.e253508.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2017.12.004"},{"key":"2025082704094719000_15.12.e253508.5","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22115"},{"key":"2025082704094719000_15.12.e253508.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2012.12.018"},{"key":"2025082704094719000_15.12.e253508.7","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.75.5.451"},{"key":"2025082704094719000_15.12.e253508.8","first-page":"37","article-title":"Spontaneous coronary artery dissection-A review","volume":"5","author":"Yip","year":"2015","journal-title":"Cardiovasc Diagn Ther"},{"key":"2025082704094719000_15.12.e253508.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.07.014"},{"key":"2025082704094719000_15.12.e253508.10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.091223"},{"key":"2025082704094719000_15.12.e253508.11","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.74.4.273"},{"key":"2025082704094719000_15.12.e253508.12","doi-asserted-by":"crossref","unstructured":"Prisant LM , Szerlip HM , Mulloy LL . 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