A tale of two SCADs: Spontaneous coronary artery dissection series

  • Sanjana Rao Texas Tech University Health Sciences Center
  • Nitish Mittal
  • Mohammad M Ansari Texas Tech University Health Science Center


Spontaneous coronary artery dissection (SCAD), a relatively rare condition, occurs when a tear is present in the coronary artery walls, slowing the flow of blood due to potential clotting. Most patients show symptoms of chest pain or shortness of breath; however, SCAD is seen mostly in relatively young and healthy women with minimal past medical history. Within this report, we present two female SCAD patients and the etiology of a SCAD case, including a complicated diagnosis and treatment. We describe a 33-year-old woman and a 40-year-old woman both presenting to the emergency department with chest pain and shortness of breath. Electrocardiogram was done and coronary artery angiography was performed on both patients, demonstrating a SCAD. Both patients were treated with aspirin, bet-blockers, and statin to relieve associated symptoms and accordingly discharged.


Key words: Spontaneous coronary artery dissection (SCAD), Female, intramural hematoma


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How to Cite
Rao, S., Mittal , N., & Ansari, M. M. (2021). A tale of two SCADs: Spontaneous coronary artery dissection series. The Southwest Respiratory and Critical Care Chronicles, 9(37), 70-73. https://doi.org/10.12746/swrccc.v9i37.785