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
American Journal of Medical Case Reports.
2018,
Vol. 6 No. 10, 218-221
DOI: 10.12691/ajmcr-6-10-6
Copyright © 2018 Science and Education PublishingCite this paper: Mohammed Al-Sadawi, Shakil Shaikh, Jonathan D. Marmur, Louis Salciccioli, Pramod Theetha Kariyanna, 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.
Correspondence to: Isabel M. McFarlane, Division of Rheumatology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA. Email:
Isabel.McFarlane@downstate.eduAbstract
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.
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