Clinical considerations during spontaneous coronary artery dissection in the post-partum period: a case report

Abstract

Background Spontaneous coronary artery dissection (SCAD) is a common and under-recognized cause of myocardial infarction during the post-partum period. Case Summary We report a case of a young women presenting with chest pain in the post-partum period. Her clinical appearance was that of a myocardial infarction and angiography was indicative of a Type 2 spontaneous coronary artery dissection (SCAD). The patients had persistent chest pain, reduced left ventricular function and critical left anterior descending artery stenosis. Percutaneous coronary intervention was done with caution. Shared decision making with the patient helped guide the medical treatment plan and follow up. Discussion We discuss the clinical considerations surrounding the management of this patient.