Background: A 45-year-old woman presented to the emergency department with ST-segment elevation myocardial infarction (STEMI).
Investigation: Physical examination, electrocardiography, coronary angiography, echocardiography, cardiac computed tomography.
Diagnosis: STEMI due to spontaneous left main coronary artery dissection involving left anterior descending, intermediate and left circumflex arteries.
Treatment: Percutaneous coronary intervention (PCI).
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