Case report

BMC Pregnancy and Childbirth

, 12:122

Open Access This content is freely available online to anyone, anywhere at any time.

Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature

  • Marta CenkowskiAffiliated withDepartment of Anesthesia, University of Manitoba
  • , Megan daSilvaAffiliated withInstitute of Cardiovascular Sciences, St. Boniface General Hospital, University of Manitoba
  • , Kimberly-Ann BordunAffiliated withInstitute of Cardiovascular Sciences, St. Boniface General Hospital, University of Manitoba
  • , Farrukh HussainAffiliated withSection of Cardiology, Department of Internal Medicine, University of Manitoba
  • , Iain DC KirkpatrickAffiliated withDepartment of Radiology, University of Manitoba
  • , Davinder S JassalAffiliated withInstitute of Cardiovascular Sciences, St. Boniface General Hospital, University of ManitobaSection of Cardiology, Department of Internal Medicine, University of ManitobaDepartment of Radiology, University of ManitobaCardiology, Radiology and Physiology Rm Y3531, Bergen Cardiac Care Centre Section of Cardiology, Department of Internal Medicine Faculty of Medicine, University of Manitoba St. Boniface General Hospital Email author 

Abstract

Background

Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.

Case presentation

This report describes a 35-year-old female who presented with an acute inferior ST elevation myocardial infarction 7 months post-partum secondary to spontaneous dissection of the left obtuse marginal coronary artery. Despite appropriate medical therapy with dual anti-platelet therapy, the patient presented four weeks later with a spontaneous dissection of the right vertebral artery.

Conclusion

We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.

Keywords

Spontaneous dissection Vasculature Pregnancy Imaging