Postpartum spontaneous coronary artery dissection

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Spontaneous postpartum coronary dissection.

A32-year-old 15-day-postpartum G3P2 woman presented with sudden cardiac arrest due to an acute anterolateral wall myocardial infarction. An emergent coronary angiogram revealed a mild 30% distal left main tapering, severe diffuse compromise of the left anterior descending coronary artery (LAD) as well as the diagonal lumen, and normal left circumflex (LCx) and right coronary arteries. Three day...

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Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection

We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory whe...

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Multiparity and Spontaneous Coronary Artery Dissection in the Postpartum Period

Spontaneous coronary artery dissection (SCAD) is a deadly cause of myocardial infarction (MI) that mainly affects otherwise healthy, young females. Forty percent of patients die suddenly or within a few hours of symptom onset. We examine the case of a young female who presented with chest pain. She developed ST elevations in anterolateral leads mimicking ST elevation MI. Cardiac catheterization...

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A case of postpartum spontaneous coronary artery dissection

Spontaneous coronary artery dissection is rare and usually affects younger women in the peripartum period. Here, we report an interesting case of a 34-year-old woman with spontaneous coronary artery dissection that occurred 1 month after childbirth. Emergency coronary angiography showed stenosis of the left anterior descending artery, but immediately afterwards, a new occlusion of the right cor...

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Spontaneous Coronary Artery Dissection.

Spontaneous coronary artery dissection (SCAD) is a non-traumatic and non-iatrogenic separation of the coronary artery wall that is now recognised as an important cause of myocardial infarction, especially in younger women. SCAD can be elusive on coronary angiography and clinician familiarity with non-pathognomonic angiographic SCAD variants and the use of intracoronary imaging will improve diag...

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ژورنال

عنوان ژورنال: The Turkish Journal of Thoracic and Cardiovascular Surgery

سال: 2017

ISSN: 1301-5680,2149-8156

DOI: 10.5606/tgkdc.dergisi.2017.14395