Very early antepartum pregnancy-associated spontaneous coronary artery dissection case report

Carolyn Lee, Jacqueline Saw


Spontaneous coronary artery dissection (SCAD) is an elusive cardiovascular disease that is increasingly recognized. Classically, pregnancy had been perceived as a notable risk factor for SCAD. However, modern studies had revealed that pregnancy-associated SCAD (PASCAD) accounted for fewer cases than previously thought. The majority of PASCAD cases occur in women post-partum. We describe a case of a 30-year-old woman who presented with SCAD while 10 days pregnant, which is the earliest PASCAD case reported in the literature.