Spontaneous Coronary Artery Dissection in a Young Female: A Complex Case of Diagnosis and Treatment Dilemma

Spontaneous coronary artery dissection (SCAD) represents a rare, yet critical condition characterized by the spontaneous tearing of coronary artery walls, predominantly affecting younger populations, particularly women. This case report elucidates the complexities of diagnosis and management of SCAD in a 34-year-old female presenting with acute chest pain and ST elevation on electrocardiogram (ECG), highlighting the challenges encountered in selecting the optimal treatment strategy. The patient underwent a comprehensive diagnostic workup, including coronary angiography, confirming the diagnosis of SCAD. Continuing management posed a therapeutic dilemma, necessitating a complex approach to address the patient's unique clinical presentation and potential complications. This case emphasizes the importance of individualized care, multidisciplinary collaboration, and long-term follow-up in optimizing patient outcomes and decision-making in managing SCAD. This case report aims to contribute to the existing literature by providing valuable insights into the diagnostic and therapeutic challenges associated with SCAD, supporting the need for further research to clarify optimal management strategies and improve patient care.