Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery.

Spontaneous coronary artery dissection is an increasingly recognized cause of acute coronary syndrome in younger patients. Management remains challenging and involves weighing the benefits of revascularization with the potential to worsen the dissection. We present a case of spontaneous coronary artery dissection with the superimposed complexity of an anomalous intramural coronary artery. (Level of Difficulty: Intermediate.).