Postpartum coronaria dissectio esete

Translated title of the contribution: Coronary artery dissection in the postpartum period - A case study

László Halmai, Róbert Sepp, Attila Thury, Henriette Gavallér, Imre Ungi, László Rudas

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Spontaneous coronary dissection is a rare condition occuring more often in women, with a higher frequency during the peripartum period. No specific aetiology has been defined to this uncommon, but often fatal disease. We describe the case of a young woman admitted to our intensive care unit with ECG-findings of acute anterior myocardial infarction presented oneweek after delivery. The acute coronary angiography didn't show significant stenoses or occlusion, therefore angioplasty was not done. Cardiogenic shock developed, which could be reverted by mechanical circulatory support and the condition of our patient stabilized. Later, new-onset cardiac ischemic signs presented warranting a repeated coronary angiography, which detected dissection on the distal part of the left main coronary artery with signs of flow-limiting even in the circumflex artery. Therefore, urgent coronary bypass surgery was performed with good results. Spontaneous coronary dissection must be considered when evaluating a patient in the peripartum period with signs of acute coronary syndrome, given its high overall mortality. The treatment holds specific points of consideration.

Translated title of the contributionCoronary artery dissection in the postpartum period - A case study
Original languageHungarian
Pages (from-to)457-463
Number of pages7
JournalOrvosi hetilap
Issue number10
Publication statusPublished - Mar 9 2008

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Halmai, L., Sepp, R., Thury, A., Gavallér, H., Ungi, I., & Rudas, L. (2008). Postpartum coronaria dissectio esete. Orvosi hetilap, 149(10), 457-463.