Acute coronary syndrome in post-partum period: challenge for differential diagnosis and proper management

The patient was presented with chest pain, new ECG changes indicating ischemia, an increase in troponin and NT pro BNP, elevated D-dimer levels, and wall motion abnormalities on an Echo. A chest computed tomography angiography did not show pulmonary embolism but revealed a sac-like aneurysm of the left anterior descending artery (LAD). The coronary angiogram confirmed an aneurysm of the LAD in 6-7 segments, along with an extended 80% stenosis of the a. intermedia. The interventional cardiology team concluded that the patient required coronary artery bypass grafting (CABG) due to extensive vessel damage. She underwent CABG three months after acute coronary syndrome in an experienced center.