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118 pontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome.1 SCAD has been described in three groups of patients: in patients with significant coronary atherosclerotic disease, women in the peripartum and early post-partum period or using oral contraceptives (pregnancy-associated SCAD, P-SCAD), and in patients without risk factors, termed idiopathic SCAD.2,3 It often affects young women and usually involves a single coronary artery, mainly the left anterior descending (LAD) artery.4,5 The clinical presentation ranges from asymptomatic patients to the whole spectrum of acute coronary syndrome A Rare Case: ST Segment Elevation Myocardial Infarction due to Spontaneous Extensive Left Coronary Artery Dissection