Progressive spontaneous coronary artery dissection secondary to fibromuscular dysplasia requiring mechanical circulatory support.

Spontaneous coronary artery dissection (SCAD) usually appears as an acute coronary syndrome with good prognosis. We present the case of a 39-year-old woman with progressive SCAD secondary to fibromuscular dysplasia with catastrophic course. The patient required several mechanical circulatory support systems including a left ventricular assist device (CentriMag®, Thoratec, Pleasanton, CA, USA) as bridge to recovery. <Learning objective: The beneficial use of mechanical circulatory support devices as a bridge to recovery or heart transplant in the setting of refractory cardiogenic shock in spontaneous coronary artery dissection.>.