Timala, RBSharma, JRajbhandari, RLimbu, Y2026-04-222026-04-222017https://hdl.handle.net/20.500.14572/5870RB Timala Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal. J Sharma Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal. R Rajbhandari Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal. Y Limbu Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.Abstract Primary spontaneous coronary artery dissection (SCAD) as a cause of acute myocardial infarction is rare entity with complex pathophysiology. SCAD must be considered every time that a healthy young patient presents with an onset of acute myocardial ischemic syndrome or sudden death. Mostly it appears in young women without traditional risk factors for coronary artery disease and a significant proportion of them are diagnosed during the peripartum or early postpartum period. SCAD is frequently fatal and a great number of known cases have been diagnosed at autopsy. The quick recognition of SCAD as a cause of acute myocardial ischemia in a young patient is important to establish the best medical/surgical treatment between the different therapeutic attitudes.en-USArticle