Postpartum coronaria dissectio esete

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

László Halmai, Róbert Sepp, A. Thury, Henriette Gavallér, Imre Ungi, L. Rudas

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageHungarian
Pages (from-to)457-463
Number of pages7
JournalOrvosi Hetilap
Volume149
Issue number10
DOIs
Publication statusPublished - Mar 9 2008

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Postpartum Period
Peripartum Period
Dissection
Coronary Vessels
Coronary Angiography
Cardiogenic Shock
Acute Coronary Syndrome
Angioplasty
Intensive Care Units
Electrocardiography
Pathologic Constriction
Arteries
Myocardial Infarction
Mortality
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

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. https://doi.org/10.1556/OH.2008.28012

Postpartum coronaria dissectio esete. / Halmai, László; Sepp, Róbert; Thury, A.; Gavallér, Henriette; Ungi, Imre; Rudas, L.

In: Orvosi Hetilap, Vol. 149, No. 10, 09.03.2008, p. 457-463.

Research output: Contribution to journalArticle

Halmai, L, Sepp, R, Thury, A, Gavallér, H, Ungi, I & Rudas, L 2008, 'Postpartum coronaria dissectio esete', Orvosi Hetilap, vol. 149, no. 10, pp. 457-463. https://doi.org/10.1556/OH.2008.28012
Halmai L, Sepp R, Thury A, Gavallér H, Ungi I, Rudas L. Postpartum coronaria dissectio esete. Orvosi Hetilap. 2008 Mar 9;149(10):457-463. https://doi.org/10.1556/OH.2008.28012
Halmai, László ; Sepp, Róbert ; Thury, A. ; Gavallér, Henriette ; Ungi, Imre ; Rudas, L. / Postpartum coronaria dissectio esete. In: Orvosi Hetilap. 2008 ; Vol. 149, No. 10. pp. 457-463.
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