Spontaneous Pan-Coronary Artery Dissection in a Marijuana Abuser

Spontaneous Coronary Artery Dissection (SCAD) is a rare condition, usually presenting as an acute coronary syndrome, in young or middle-aged women, and is often associated with high systemic estrogen levels such as pregnancy or oral contraceptive use. A 33-year-old male presented with evaluation of left-sided retrosternal chest discomfort and sweating three days back. He was chronic tobacco chewer for past twelve years, and started smoking marijuana for past nine months.