Spontaneous Coronary Artery Dissection in a Postpartum Woman: Literature Review

A 27-year-old African American woman 3 months postpartum presented with an acute ST elevation myocardial infarction (STEMI). Cardiac catheterization revealed an acute coronary dissection of her left anterior descending (LAD) coronary artery and a chronic dissection of her right coronary artery (RCA). She underwent bare metal stenting of her LAD. An intra-aortic balloon pump was placed for hemodynamic instability. Five days after STEMI, she was discharged home. This case study illustrates the diagnosis, etiology, treatment, and prognosis of the rarity of pregnancy-associated spontaneous coronary artery dissection and our need to be more vigilant for cardiac symptoms in peripartum women.