The clinical course and angiographic follow-up of a woman with spontaneous
coronary dissections in all three coronary arteries during the third trimes
ter of pregnancy is described, Mother and child survived anti subsequent cl
inical course was uneventful. At B-month follow-up, dissections in the righ
t and circumflex coronary artery had healed completely. At the site of the
dissection in the LAD, an aneurysm had formed. This is to our knowledge the
first report of antepartum and antemortem diagnosis of pregnancy related c
oronary dissections in all three coronary arteries. (C) 1999 Wiley-Liss, In
c.