Thrombolysis in spontaneous coronary artery dissection: a case report of acute catastrophic dissection requiring coronary artery bypass surgery and delayed heart transplant in a young woman with fibromuscular dysplasia

Revascularization in SCAD is not well defined with limited data. The incidence of cardiogenic shock is 1.2%-15.9%. There are case reports on mechanical circulatory support (MCS), CABG, and heart transplantation. This case is unique requiring MCS and CABG with SCAD and heart transplant after 2 years.