Post-partum spontaneous coronary artery dissection refractory to conservative management

Abstract

This case report describes a 31-year-old female who was diagnosed with a spontaneous coronary artery dissection (SCAD) of her left anterior descending artery during the post-partum period. She failed nonoperative management and was found to have extensive propagation of the dissected vessel upon experiencing recurrent chest pain. She ultimately underwent coronary artery bypass grafting which restored perfusion and cardiac while motion. A brief discussion of the presentation, diagnosis, and management of SCAD follows.