Abstract

COUTINHO, Inês et al. Acute myocardial infarction due to spontaneous coronary artery dissection in a twin pregnancy. Acta Obstet Ginecol Port [online]. 2019, vol.13, n.4, pp.249-251. ISSN 1646-5830.

Spontaneous coronary artery dissection is a rare event during pregnancy, resulting in significant acute maternal and foetal mortality rates. We report a case of a mid-left anterior descending artery type I dissection in a 34-year-old primigesta with a 24-weeks monochorionic diamniotic twin pregnancy. She was treated medically with favourable outcome. Although quite rare in obstetric practice, spontaneous coronary artery dissection should be considered in the differential diagnosis of chest pain in pregnant women.

Keywords : Chest pain; Myocardial infarction; Spontaneous coronary artery dissection; Twin pregnancy; Pregnancy complications.

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