Pregnancy-associated spontaneous coronary artery dissection: a challenging scenario in limited-resource setting Authors Hassan Abdullah Department of Internal Medicine, Ittefaq Hospital, Lahore, Pakistan Ayesha Rafique Department of Internal Medicine, Ittefaq Hospital, Lahore, Pakistan Asad Jamil Awan Department of Cardiology, Ittefaq Hospital, Lahore, Pakistan Muhammad Muzaffar Mahmood Department of Cardiology, Ittefaq Hospital, Lahore, Pakistan DOI: https://doi.org/10.47391/JPMA.11299 Keywords: Acute Coronary Syndrome, Coronary Vessels, Percutaneous Coronary Intervention, Thrombolytic Therapy, Caesarean Section Abstract Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). We report a case of SCAD in a patient who had her Caesarean section three weeks earlier. This report describes the management, emphasising the need to keep a high index of suspicion to avoid mismanagement, such as inadvertent thrombolysis which may prove disastrous in such situations. The practical aspects of performing percutaneous coronary intervention in patients with SCAD are also discussed. MeSH Key: Acute Coronary Syndrome, Coronary Vessels, Percutaneous Coronary Intervention, Thrombolytic Therapy, Caesarean Section. Downloads Full Text Article Published 2025-02-23 How to Cite Abdullah, H., Ayesha Rafique, Asad Jamil Awan, & Muhammad Muzaffar Mahmood. (2025). Pregnancy-associated spontaneous coronary artery dissection: a challenging scenario in limited-resource setting. Journal of the Pakistan Medical Association, 75(03), 482–484. https://doi.org/10.47391/JPMA.11299 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 75 No. 03 (2025): MARCH Section CASE REPORT License Copyright (c) 2025 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.