# Spontaneous Coronary Artery Dissection in the Late Third Trimester of Pregnancy

## TL;DR

A 35-year-old pregnant woman experienced a rare heart condition called spontaneous coronary artery dissection during her late pregnancy and was successfully treated.

## Contribution

This case report highlights SCAD occurrence in late pregnancy and its management through conservative treatment.

## Key findings

- SCAD was diagnosed in a 36-week pregnant woman with acute chest pain and elevated cardiac enzymes.
- The patient was managed conservatively after emergency cesarean delivery and later discharged successfully.

## Abstract

Acute coronary syndrome due to a non-atherosclerotic, non-traumatic, or iatrogenic-induced spontaneous coronary artery dissection (SCAD) is a rare clinical condition that affects mostly young women of reproductive age. In this case, we present a 36-week-pregnant, 35-year-old G2P1 woman, with no previous medical history, who was admitted to our hospital with premature pre-labor contractions. During her hospitalization, she underwent a coronary artery percutaneous angiography revealing SCAD of the three coronary vessels, after an episode of acute-onset chest pain, tachypnea, EKG alterations, cardiac enzyme elevation, and bilateral pleural effusions. An emergency cesarean delivery was performed and the patient was transferred to the cardiology intensive care unit. Conservative management was decided and the woman was discharged a few days later.