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Spontaneous Coronary Artery Dissection in the Postoperative Period: A Case Report

Bendinelli, Valentina MD; Lefebvre, Pascal MD; Daper, Anne MD

doi: 10.1213/XAA.0000000000001003
Case Reports

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.

Funding: None.

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

Copyright © 2019 International Anesthesia Research Society
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