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She re-presented 4\u2009days later with chest and arm pain, and ECG changes consistent with a posteroinferior ST elevation myocardial infarction. She was diagnosed with a spontaneous coronary artery dissection on a coronary angiogram and a right vertebral artery dissection on CT scan. Subsequent extension of the coronary dissection 4\u2009days later required a coronary artery bypass graft. The patient elected to continue the pregnancy, while acknowledging the maternal and fetal risks. At 28 weeks\u2019 gestation, the fetus had dilated small bowel loops on the obstetrical ultrasound. At 33+4 weeks\u2019 gestation, a 2154\u2009g male infant was born by emergency Caesarean section for non-reassuring cardiotocography. The infant had jejunal atresias, requiring bowel resection and primary anastomoses.<\/jats:p>","DOI":"10.1136\/bcr-2024-264101","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T20:35:19Z","timestamp":1739997319000},"page":"e264101","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous coronary and vertebral artery dissection in early pregnancy"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7722-3171","authenticated-orcid":false,"given":"Sarah Anna Lucy","family":"Price","sequence":"first","affiliation":[{"name":"Department of Obstetric Medicine, The Royal Women\u2019s Hospital, Parkville, Victoria, Australia"},{"name":"Department of Medicine, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Parkville, Victoria, 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