SCAD Gone Bad: A Rare Case of SCAD Requiring Cardiac Transplantation.

ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is a common cause of acute coronary syndrome in younger women. It is often treated conservatively with spontaneous healing. Revascularization can be challenging and is reserved for those with complete occlusions, intractable angina, and hemodynamic compromise.

Case summary

A 31-year-old woman developed SCAD 8 days after vaginal delivery. Despite initial attempts at conservative management, she required escalative therapies ranging from percutaneous coronary intervention to mechanical circulatory support and ultimately heart transplantation in the setting of ischemic cardiomyopathy and cardiogenic shock.

Discussion

This case highlights the continuum of severity of SCAD, the risk of dissection propagation, and the

SUBMITTER: Tarrasch J 

PROVIDER: S-EPMC12441446 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature