Subsequent Pregnancy in a Patient With Spontaneous Coronary Artery Dissection

Solafa Elshatanoufy, Jay Kozlowski, Elizebeth Dubey, Sharif Sakr, Bernard Gonik


Spontaneous coronary artery dissection (SCAD) is an exceedingly rare condition that primarily affects women in late pregnancy and post partum period. While rare, the mortality in the acute episode may approach 38%. In the literature there are several reports of SCAD in pregnancy and the post partum period but none describe the management of such patients in a subsequent pregnancy. We report a case of SCAD in the post partum period requiring coronary intervention with placement of four stents. The patient presents for prenatal care for a subsequent unplanned but desired pregnancy. Multidisciplinary care was instituted, including close cardiology follow-up. She remained asymptomatic throughout the pregnancy and post partum period. SCAD as a rare cause of acute coronary syndrome carries a significant mortality especially if there is a delay in diagnosis, and management. It should be an important part of the differential diagnoses for a clinician working up a female patient with chest pain in late pregnancy and post partum period. While our patient had a favorable outcome during the subsequent pregnancy, delivery and post partum periods, close follow-up and co-management with cardiology is important in the care of such patients. Given the lack of available clinical information, management recommendations are suggested using expert opinion and tangential data.

J Clin Gynecol Obstet. 2015;4(1):177-178


Post partum; Spontaneous coronary artery dissection; Acute coronary syndrome in pregnancy

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics






Journal of Clinical Gynecology & Obstetrics, quarterly, ISSN 1927-1271 (print), 1927-128X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal, the authors retain the copyright, the journal is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International
License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.