Spontaneous coronary artery dissection involving all three coronaries in a young male

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Its non-acute presentation with dyspnoea on exertion as the sole symptom has not been reported in the literature. We present a case of a middle aged gentleman, presented with spontaneous coronary artery dissection involving all the coronary arteries and with dyspnoea as the only symptom.