A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity

Taqi A Rizvi; Shahkar Khan; Ahmad Mustafa; Rabih Tabet; James C Lafferty

doi:10.7759/cureus.33021

A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity

Cureus. 2022 Dec 27;14(12):e33021. doi: 10.7759/cureus.33021. eCollection 2022 Dec.

Authors

Taqi A Rizvi¹, Shahkar Khan¹, Ahmad Mustafa¹, Rabih Tabet², James C Lafferty²

Affiliations

¹ Internal Medicine, Staten Island University Hospital, Staten Island, USA.
² Cardiology, Staten Island University Hospital, Staten Island, USA.

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with a high prevalence in young pregnant females. A 38-year-old female with a history of morbid obesity status post-bariatric surgery presented with chest pain. The electrocardiogram (EKG) revealed ST-segment elevation in the inferior leads as well as slightly elevated troponin. Urgent cardiac catheterization showed SCAD, and she was subsequently managed with medical therapy. We hypothesize that the history of obesity leads to a compromise in the coronary vasculature, thereby predisposing the patient to SCAD.

Keywords: acs; bariatric surgery; obesity; post-partum; scad.

Publication types

Case Reports