Spontaneous Dissection of All 3 Coronary Arteries in a Postpartum Woman

Abstract

Forty-one thousand people aged 29 to 44 years are diagnosed with acute myocardial infarction each year in the United States. The etiology of acute coronary syndrome among patients younger than 45 years can be atheromatous or nonatheromatous coronary heart disease, hypercoagulable states, or related to substance abuse. Spontaneous coronary artery dissection (SCAD) falls under the nonatheromatous category, and unfortunately the diagnosis is often made at autopsy.