Post-partum spontaneous coronary artery dissection refractory to conservative management.

This case report describes a 31-year-old female who was diagnosed with a spontaneous coronary artery dissection (SCAD) of her left anterior descending artery during the post-partum period. She failed nonoperative management and was found to have extensive propagation of the dissected vessel associated with recurrent chest pain. She ultimately underwent coronary artery bypass grafting which restored perfusion and cardiac wall motion. A brief discussion of the presentation, diagnosis, and management of SCAD follows.