Spontaneous multivessel coronary artery dissection in a wrestler.

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndromes and still remains as a clinical dilemma for the cardiologists. There are almost 250 cases in the literature and most of them are about female patients. Etiology and optimal treatment have not yet been well defined. Although coronary artery disease, pregnancy induced hormonal changes, cystic medial degeneration, oral contraceptive use and heavy exercise were supposed to be the causative factors, cases without any risk factor defined as idiopathic group were also described.