Post-partum spontaneous coronary artery dissection refractory to conservative management

Authors

  • Eric Etchill Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  • Nicholas Clarke Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  • Katerine Giuliano Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  • Jennifer Lawton Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  • Chun Woo Choi Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

DOI:

https://doi.org/10.21542/gcsp.2020.34

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.

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Published

2020-12-30

Issue

Vol. 2020 No. 3 (2020)

Section

Images in cardiology

License

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.