This case highlights a rare instance of sudden death from postpartum coronary artery dissecting aneurysm in a patient with multiorgan sarcoidosis, suggesting a link to pregnancy-related weakening of the media and hemodynamic changes.
We have described a case of sudden death in a 27-year-old woman, 16 days postpartum, resulting from a dissecting aneurysm of the right and left coronary arteries. The patient also had multiorgan sarcoidosis. Postpartum coronary artery dissecting aneurysm appears to be caused by weakening of the media, resulting from the loosening of the ground substance during pregnancy and the hemodynamic changes occurring during and after delivery.
Ehya et al. (Tue,) studied this question.