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On coronary angiogram, it was noticed that he had an intensive spontaneous coronary artery dissection of the proximal section of left anterior descending (LAD) artery with a complete occlusion of its distal segment (Figure 1). We managed the affected person conservatively using Glycoprotein IIb/IIIa inhibitors (Tirofiban). The peak cardiac troponine I was 9 µg/L and