Post-partum Spontaneous Coronary Artery Dissection: A Case Report

Mohammed Al-Sadawi¹, Shakil Shaikh², Jonathan D. Marmur², Louis Salciccioli², Pramod Theetha Kariyanna² and Isabel M. McFarlane^3,

¹Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA

²Division of Cardiovascular Diseases, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA

³Division of Rheumatology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA

Cite this paper

Mohammed Al-Sadawi, Shakil Shaikh, Jonathan D. Marmur, Louis Salciccioli, Pramod Theetha Kariyanna and Isabel M. McFarlane. Post-partum Spontaneous Coronary Artery Dissection: A Case Report. American Journal of Medical Case Reports. 2018; 6(10):218-221. doi: 10.12691/AJMCR-6-10-6

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare illness often misdiagnosed, that accounts for up to 4% of cases of acute coronary syndrome in young women. Interestingly, SCAD is the most common cause of myocardial infarction related to pregnancy. Here, we present a case of a 35-year old postpartum patient who presented in cardiac arrest due to ventricular fibrillation and was found to have a ST-segment elevation myocardial infarction. Cardiac catheterization revealed significant coronary vasospasm and dissection of the right circumflex and distal left anterior descending artery. We discuss clinical diagnosis and management of spontaneous coronary dissection along with literature review.

Keywords

spontaneous coronary artery dissection, post-partum, ventricular fibrillation

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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