Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 11 2 2016 10 10 98 101 EN Arsalan Salari Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Mahboobe Gholipur Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Maedeh Rezaeidanesh Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Anoosh Barzigar Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Shahram Rahmani Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Mohadeseh Pursadeghi Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. Hannan Ebrahimi Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran. 2016 07 04 2016 07 04 Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. We report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. Electrocardiography showed ST elevation in leads V2-V4 and ST depression in the inferior leads. Lab data were normal. Cardiac catheterization showed a suspicious thrombotic lesion at the proximal portion of the left anterior descending artery with a smooth contour consistent with distal haziness and dissection site. Final diagnosis was coronary artery dissection. At 1 week's follow-up, the patient was in good physical condition. At 1 month's follow-up, she had no complaints of discomfort. And finally, 8 months after having suffered a heart attack, she presented no evidence of angina, dyspnea, or congestive heart failure Spontaneous coronary artery dissection is a rare disease that mainly affects younger women. Compared with earlier reports, the prognosis seems to be improved by early diagnosis and interventional treatment. https://rhythm.tums.ac.ir/index.php/jthc/article/view/587 https://rhythm.tums.ac.ir/index.php/jthc/article/download/587/458