Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

Background: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women. Case Presentation: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome. Conclusion: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.