Extended, Iatrogenic Coronary Artery Dissection Post-Partum: Clinical Management of a Very Unusual Case

Spontaneous coronary artery dissection (SCAD) is a very uncommon cause of myocardial infarction, mostly reported to occur in women during or after pregnancy. This may be due to hormonal changes and subsequently increased hemodynamic stress. It is presumable, that due to these factors pregnant or early post-partum women are at greater risk of iatrogenic coronary dissection during diagnostic coronary angiography. We herein present an unusual case of an extensive iatrogenic coronary artery dissection of all coronary arteries leading to acute massive myocardial infarction in a young woman three days postpartum. Clinical course and therapeutic management are reported.