Postpartum multivessel coronary artery dissection treated with coronary artery bypass grafting.

Spontaneous coronary artery dissection is a rare but potentially life-threatening event associated with the peripartum period. We present a case of acute anterolateral ST elevation myocardial infarction in the postpartum period in a young woman. Thrombolytic therapy was successful, but later the patient required emergent coronary artery bypass grafting due to another acute inferolateral myocardial infarction that developed 4 h after cardiac catheterization which showed multivessel spontaneous coronary artery dissection.