{Reference Type}: Case Reports {Title}: A Challenging Case of Extensive Spontaneous Coronary Artery Dissection. {Author}: Narula N;Singh H;Krishnan U;Sciria C;Vohra A;Kim J;Lau C;Feldman D;Kim L;Friedman JL; {Journal}: JACC Case Rep {Volume}: 2 {Issue}: 10 {Year}: Aug 2020 暂无{DOI}: 10.1016/j.jaccas.2020.07.005 {Abstract}: 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.).