Spontaneous coronary artery dissection is an uncommon nonatherosclerotic cause of acute coronary syndrome. It usually occurs in young women and is often associated with fibromuscular dysplasia, connective tissue diseases, and pregnancy or postpartum states. We present a case of a Syrian woman with a history of grand multiparity and recent miscarriage who presented with non–ST-elevation myocardial infarction and was found to have multivessel spontaneous coronary artery dissection and severe left ventricular dysfunction. © 2016

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refugee Syrian Arab Republic complication human Refugees pain Vascular Diseases prognosis diagnostic imaging Humans coronary angiography glyceryl trinitrate coronary artery dissection Ventricular Dysfunction, Left heart left ventricle failure case report female multiple spontaneous coronary artery dissection coronary blood vessel Coronary Vessels heart left ventricle function non ST segment elevation myocardial infarction Article Coronary Vessel Anomalies adult acute coronary syndrome Syrian Syria morphine disease severity heart left ventricle ejection fraction etiology