Citation: Missouri Medicine. 117(1):70-72, 2020 Jan-Feb..Journal: Missouri medicine.Published: ; 2020ISSN: 0026-6620.Full author list: Oman Z; Khalid N; Hassanieh I; Lim M; Helmy T.UI/PMID: 32158054.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineAbbreviated citation: Mo Med. 117(1):70-72, 2020 Jan-Feb.Abstract: Spontaneous coronary artery dissection (SCAD) is an uncommon and potentially fatal cause of acute coronary syndrome, myocardial infarction, and sudden death primarily affecting women. While the exact cause of SCAD is unknown, associated risk factors are emotional or physical stress, female gender, pregnancy-related factors including hormonal changes, fibromuscular dysplasia, mixed connective tissue disorders, and inflammatory disorders. In this report, we present a middle-aged female with ulcerative colitis and cirrhosis secondary to primary sclerosing cholangitis who was found to have SCAD on cardiac evaluation for liver transplantation workup. Copyright 2020 by the Missouri State Medical Association.