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Spontaneous Coronary Artery Dissection in the Late Third Trimester of Pregnancy

Nikolaos Antonakopoulos1, Figalia Nika1, Panagiota Tzela2

  • 1Department of Obstetrics and Gynecology, School of Health Sciences, University of Patras, Patras, GRC.

Cureus
|September 2, 2024
PubMed

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.

Keywords:
acute-onset chest painbilateral pleural effusionsmyocardial infarctionpathophysiological changes in pregnancypercutaneous angiographypregnancyscadspontaneous coronary artery dissectiontachypnea

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