Recurrent spontaneous coronary artery dissection with ST-segment elevation: once RCA involvement then left main/LAD—case report

TL;DR

A rare case of spontaneous coronary artery dissection in a postpartum woman is reported, highlighting its diagnosis and treatment.

Contribution

The novelty lies in the detailed case report of a rare condition with a successful outcome in the early postpartum period.

Findings

The case involved a previously healthy woman with spontaneous coronary artery dissection during the early postpartum period.

Successful diagnosis and treatment approaches were applied, leading to a favorable outcome.

Reporting such rare cases can help guide clinicians in managing similar situations globally.

Abstract

Spontaneous coronary artery dissection is a rare disease with a more prevalence in women, mostly in the postpartum state, which was first described by Peretti in 1931.

This report describes a previously healthy woman who had a spontaneous coronary artery dissection. This case is related to the early postpartum period with a successful outcome. In addition, the diagnostic and therapeutic approaches of this unique clinical entity are discussed and reviewed.

Because these kinds of cases are so rare, reporting these cases and the management and treatment approaches can guide other clinicians worldwide, and maybe a guideline for choosing the best approach around different situations could be published.

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