Spontaneous coronary artery dissection in puerperium

Asian Cardiovascular & Thoracic Annals
Medhat RefaieRicardo Gallo

Abstract

Spontaneous coronary artery dissection in puerperium is uncommon and most often occurs in the third trimester of pregnancy and in the early postpartum period. Two weeks after delivery, a 41-year-old woman presented with typical retrosternal chest pain and inverted T-waves in leads II, V5 and V6, and Q-waves in aVR. Her peak troponin I level was 16.39 µgċL(-1) Coronary angiography showed left main spiral dissection extending to the mid left anterior descending artery and involving the first diagonal branch. Urgent coronary artery bypass grafting was performed successfully. The mechanism and approach are discussed.

References

May 23, 1998·Annals of Internal Medicine·M C PorrasJ Z Gill
Aug 6, 1998·The Annals of Thoracic Surgery·P A ThistlethwaiteS W Jamieson
Jan 9, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A K KoulJ Shani
Apr 22, 2006·Cardiology in Review·Lawrence M PhillipsDonna Marchant
Jan 10, 2012·The Western Journal of Emergency Medicine·Lisa Kinney-HamElizabeth L Walters

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Citations

Mar 18, 2017·Circulation. Cardiovascular Interventions·Ofer HavakukUri Elkayam

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Methods Mentioned

BETA
dissection
coronary artery bypass
coronary bypass

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