Background: Spontaneous coronary artery dissection is a rare cause of myocardial ischemia. It is a condition with greater prevalence in young women, particularly in the peripartum or early postpartum period.
Case report: We report a case of double spontaneous spiral coronary artery dissections involving the left anterior descending and right coronary artery in a 39-year-old man who underwent successful coronary artery bypass
grafting.
Conclusion: Early diagnosis is imperative for survival. Coronary artery bypass grafting is a safe and reliable method for spontaneous multiple spiral dissections of coronary arteries which present with myocardial ischemia.

Keywords: Coronary Artery Bypass, coronary dissection, Surgery