%0 Case Reports %T A Challenging Case of Extensive Spontaneous Coronary Artery Dissection. %A Narula N %A Singh H %A Krishnan U %A Sciria C %A Vohra A %A Kim J %A Lau C %A Feldman D %A Kim L %A Friedman JL %J JACC Case Rep %V 2 %N 10 %D Aug 2020 %M 34316991 暂无%R 10.1016/j.jaccas.2020.07.005 %X The detection of spontaneous coronary artery dissection (SCAD) causing myocardial infarction is integral in pursuing the appropriate management. Our case posed a diagnostic challenge, with Takotsubo cardiomyopathy and coronary embolism among the potential differential diagnoses upon the initial presentation. Extensive propagation of spontaneous coronary artery dissection subsequently resulted in a significant challenge to management requiring surgical revascularization. (Level of Difficulty: Intermediate.).