Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
- Author(s): Pillow, Malford T
- Nguyen, Ngoc Anh
- Kuo, Dick
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2011.4.2263
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 is good. [West J Emerg Med. 2011;12(4):567–570.]