A 36-year-old woman with coronary artery dissection two weeks after abortion

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. we report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. electrocardiography showed st elevation in leads v2-v4 and st depression in the inferior leads. lab data were normal. cardiac catheterization showed a suspicious thrombotic lesion at the proximal portion of the left anterior descending artery with a smooth contour consistent with distal haziness and dissection site. final diagnosis was coronary artery dissection. at 1 week's follow-up,the patient was in good physical condition. at 1 month's follow-up,she had no complaints of discomfort. and finally,8 months after having suffered a heart attack,she presented no evidence of angina,dyspnea,or congestive heart failure spontaneous coronary artery dissection is a rare disease that mainly affects younger women. compared with earlier reports,the prognosis seems to be improved by early diagnosis and interventional treatment. © 2016,tehran heart center. all rights reserved.