Spontaneous coronary dissection is an uncommon cause of acute coronary syndrome that may manifest as unstable angina, acute myocardial infarction, or sudden death. The condition occurs predominantly in women, with approximately one-third of cases reported during or after pregnancy. The etiology is unknown; however, associations with fibromuscular dysplasia and connective tissue diseases have been reported. Here, we describe a case of ST-segment elevation acute myocardial infarction in a puerperal woman due to spontaneous dissection of the left main coronary artery, successfully treated with percutaneous coronary intervention.
Spontaneous dissection of the left main coronary artery in a puerperal woman treated with percutaneous coronary intervention
Andréa,Júlio Cesar Machado and Mendonça,Priscilla Costa and Figueira,Hélio Roque and Atié,Jacob and Machado,Luiz Paulo and Camillis,Luis Felipe. Spontaneous dissection of the left main coronary artery in a puerperal woman treated with percutaneous coronary intervention. Rev. Bras. Cardiol. Invasiva [online]. 2017, vol.25, 1-4, [cited 2026-03-06], pp.42-45. Available from: <https://jotci.org/article/spontaneous-dissection-of-the-left-main-coronary-artery-in-a-puerperal-woman-treated-with-percutaneous-coronary-intervention/>. ISSN . http://doi.org/10.31160/JOTCI2017;25(1-4)A0010.
Andréa,Júlio Cesar Machado; Mendonça,Priscilla Costa; Figueira,Hélio Roque; Atié,Jacob; Machado,Luiz Paulo; Camillis,Luis Felipe. Spontaneous dissection of the left main coronary artery in a puerperal woman treated with percutaneous coronary intervention. Rev. Bras. Cardiol. Invasiva, v.25, 1-4, p. 42-45. Jan. 2017. Available from: <https://jotci.org/article/spontaneous-dissection-of-the-left-main-coronary-artery-in-a-puerperal-woman-treated-with-percutaneous-coronary-intervention/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI2017;25(1-4)A0010.
Andréa,Júlio Cesar Machado, & Mendonça,Priscilla Costa, & Figueira,Hélio Roque, & Atié,Jacob, & Machado,Luiz Paulo, & Camillis,Luis Felipe. (2017). Spontaneous dissection of the left main coronary artery in a puerperal woman treated with percutaneous coronary intervention. Rev. Bras. Cardiol. Invasiva, 25(1-4) , 42-45. http://doi.org/10.31160/JOTCI2017;25(1-4)A0010.
AndréaJúlio Cesar Machado, MendonçaPriscilla Costa, FigueiraHélio Roque, AtiéJacob, MachadoLuiz Paulo, CamillisLuis Felipe. Spontaneous dissection of the left main coronary artery in a puerperal woman treated with percutaneous coronary intervention. Rev. Bras. Cardiol. Invasiva [Internet]. 2017 Jan [cited 2026 Mar 06]; 25(1-4): 42-45. Available from: https://jotci.org/article/spontaneous-dissection-of-the-left-main-coronary-artery-in-a-puerperal-woman-treated-with-percutaneous-coronary-intervention/. http://doi.org/10.31160/JOTCI2017;25(1-4)A0010.
Figure 6
Control coronary computed tomography angiography 15 months after the procedure without signs of in-stent restenosis.
