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Case Reports
. 2021 Apr 26;13(4):103-110.
doi: 10.4330/wjc.v13.i4.103.

Pregnancy associated spontaneous coronary artery dissection: A case report and review of literature

Kalyan Prudhvi  1 , Jayasree Jonnadula  2 , Venkata Ram Pradeep Rokkam  3 , Gurusaravanan Kutti Sridharan  3
Affiliations
Case Reports

Pregnancy associated spontaneous coronary artery dissection: A case report and review of literature

Kalyan Prudhvi et al. World J Cardiol. .

Abstract

Background: Pregnancy-associated spontaneous coronary artery dissection (PSCAD) is an important cause of chest pain and acute myocardial infarction in pregnant and postpartum women. Pregnancy is considered an isolated risk factor for spontaneous coronary artery dissection. The etiology, pathogenesis, and incidence of PSCAD are not known.

Case summary: We present a case of a 33-year-old postpartum female who presented with sudden onset chest pain and was diagnosed with spontaneous coronary artery dissection and needed urgent catheterization revealing left anterior descending coronary artery dissection. She underwent emergent coronary artery bypass graft surgery with good post-operative recovery.

Conclusion: Most patients with PSCAD can be managed conservatively with medical management and have good outcomes. Patients with high-risk presentations benefit from the invasive approach. Coronary artery bypass graft may be required in select few patients based on angiography findings. Due to the risk of recurrent spontaneous coronary artery dissection, subsequent pregnancies are discouraged.

Keywords: Acute coronary syndrome; Case report; Coronary artery bypass surgery; Dissection; Myocardial Infraction; Percutaneous coronary intervention; Pregnancy; Spontaneous artery dissection.

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Conflict of interest statement

Conflict-of-interest statement: The authors disclose no conflicts of interest and the statement attached.

Figures

Figure 1
Figure 1
Right anterior oblique caudal view: Dissection extending from Ostium to mid LAD beyond the 2nd diagonal (arrow) with 90% stenosis (indicated by arrow).
Figure 2
Figure 2
Right anterior oblique cranial view.
See this image and copyright information in PMC

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References

    1. McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data. :2004: 1–34. - PubMed
    1. Kontos MC, Diercks DB, Kirk JD. Emergency department and office-based evaluation of patients with chest pain. Mayo Clin Proc. 2010;85:284–299. - PMC - PubMed
    1. Stepinska J, Lettino M, Ahrens I, Bueno H, Garcia-Castrillo L, Khoury A, Lancellotti P, Mueller C, Muenzel T, Oleksiak A, Petrino R, Guimenez MR, Zahger D, Vrints CJ, Halvorsen S, de Maria E, Lip GY, Rossini R, Claeys M, Huber K. Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association. Eur Heart J Acute Cardiovasc Care. 2020;9:76–89. - PubMed
    1. James AH, Jamison MG, Biswas MS, Brancazio LR, Swamy GK, Myers ER. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation. 2006;113:1564–1571. - PubMed
    1. Hayes SN, Tweet MS, Adlam D, Kim ESH, Gulati R, Price JE, Rose CH. Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;76:961–984. - PubMed

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