{
  "abstract": "Spontaneous coronary artery dissection (SCAD) is an uncommon non-atherosclerotic cause of acute coronary syndrome that can present as ST-elevation myocardial infarction (MI) and is particularly challenging because postoperative thrombosis and bleeding risks coexist. We report the case of a 44-year-old woman who underwent major abdominal oncologic surgery and developed a minor pulmonary embolism treated with anticoagulation. On postoperative day 4, she developed acute chest pain with ST-segment elevation. Emergency coronary angiography showed a long lesion involving the second diagonal branch, consistent with SCAD, with otherwise normal coronary arteries. She was managed conservatively. Her course was complicated by right JP drain-site bleeding, which required permanent heparin discontinuation and blood transfusion. This case illustrates SCAD as a cause of postoperative ST-elevation MI and the difficulty of balancing thrombosis and bleeding risk after major surgery.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Lamia S Alsubaie"
    },
    {
      "name": "Hesham Saida"
    },
    {
      "name": "Nayef Alzahrani"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ecm9zpm60bkwn.bib",
  "cited_by": 0,
  "doi": "10.1093/jscr/rjag968",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731190/",
  "id": "ecm9zpm60bkwn",
  "issns": [
    "2042-8812"
  ],
  "landing_url": "https://doi.org/10.1093/jscr/rjag968",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "AcademicSubjects/MED00910"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "heading",
      "jscrep/030"
    ],
    [
      "openalex",
      "2705|Cardiovascular Issues in Pregnancy"
    ]
  ],
  "openalex": "W7225233730",
  "pdf_url": "https://academic.oup.com/jscr/article-pdf/2026/11/rjag968/72931725/rjag968.pdf",
  "pmcid": "PMC13731190",
  "pmid": "42984887",
  "published": "2026-11-04",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/ecm9zpm60bkwn.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:21:25Z",
      "native_id": "PMC13731190",
      "source": "pmc",
      "url": "https://doi.org/10.1093/jscr/rjag968"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiovascular Issues in Pregnancy",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Postoperative spontaneous coronary artery dissection after major abdominal oncological surgery: a case report",
  "title_text": "Postoperative spontaneous coronary artery dissection after major abdominal oncological surgery: a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:25Z",
  "url": "https://research.draconitic.com/paper/ecm9zpm60bkwn",
  "venue": "Journal of Surgical Case Reports",
  "versions": []
}