Şahhan KILIÇ, Süha ASAL
Interventional Cardiology Perspectives - 2026;2(2):71-74
Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognized cause of acute coronary syndrome, particularly in middle-aged women. Its clinical presentation can be highly variable, occasionally mimicking other conditions such as stress cardiomyopathy [Takotsubo syndrome (TTS)]. We report the case of a 59-year-old woman with a history of hypertension who presented with chest pain and echocardiographic findings suggestive of Takotsubo cardiomyopathy. Coronary angiography, however, revealed SCAD in the mid-left anterior descending artery. Given the preserved coronary flow, conservative medical management was pursued. This case underscores the diagnostic challenges and overlapping features of SCAD and TTS and highlights the importance of invasive imaging for accurate diagnosis.
