Spontaneous coronary artery disease is an uncommon and likely underdiagnosed cause of sudden cardiac death affecting typically young and middle-aged women. We report a case of spontaneous coronary artery disease in the postoperative period in a female patient who developed an acute coronary event after gynecologic surgery. The patient was clinically asymptomatic except for mild hemodynamic instability and ST-segment–elevation myocardial infarction seen on electrocardiogram. Spontaneous coronary artery disease was diagnosed with coronary angiography, and a pharmacological therapy was instituted with favorable results.
From the University Hospital Center of Charleroi, Lodelinsart, Belgium.
Accepted for publication February 12, 2019.
The authors declare no conflicts of interest.
Address correspondence to Anne Daper, MD, CHU Charleroi, 140 Chaussee de Bruxelles, 6042 Lodelinsart, Belgium. Address e-mail to firstname.lastname@example.org.