December 4, 2025European Heart Journal - Case Reports0 citationsOpen Access
View Full PaperStepwise rescue management of cataclysmic postpartum spontaneous coronary artery dissection using multimodal imaging
Key Points
- Timely percutaneous coronary intervention improved outcomes in a woman with spontaneous coronary artery dissection.
- Integration of multimodal imaging and clinical decision-making optimized treatment strategy over six months.
- Case highlights the critical role of computed tomography angiography and intracoronary imaging in complex interventions.
- Supports the need for multidisciplinary approaches in managing postpartum cardiovascular events.
Abstract
Abstract Case summary: We present the case of a 34-year-old woman who experienced a cataclysmic spontaneous coronary artery dissection (SCAD) during the postpartum period. A multidisciplinary strategy was employed, integrating intracoronary imaging and computed tomography angiography to guide clinical decision-making. These modalities enabled a carefully timed, complex percutaneous coronary intervention (PCI) performed six months after initial presentation, ultimately leading to a favourable clinical outcome