Key result
A 32-year-old postpartum woman presenting with cardiac arrest due to spontaneous coronary artery dissection was successfully treated with percutaneous coronary intervention.
Case Report (n=1)
Early diagnosis and aggressive treatment with percutaneous coronary intervention can lead to survival in patients presenting with cardiac arrest due to postpartum spontaneous coronary artery dissection.
May support PCI consideration in postpartum SCAD arrest; hypothesis-generating and requires prospective data before practice change.
We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory where coronary angiography findings showed spontaneous dissection of the left anterior descending artery. The patient received a total of 6 stents during her hospital stay and was eventually discharged in good condition. Spontaneous coronary artery dissection is a rare entity with a predilection for pregnant or postpartum women. Early diagnosis and treatment are key for survival, and when identified early, mortality rate is reduced.
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Pillow et al. (2011) conducted a case report in Postpartum Spontaneous Coronary Artery Dissection (n=1). Percutaneous coronary intervention was evaluated. A 32-year-old postpartum woman presenting with cardiac arrest due to spontaneous coronary artery dissection was successfully treated with percutaneous coronary intervention.
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