Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature
Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.
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.
We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.
- Vrints CJ: Spontaneous coronary artery dissection. Heart 2010,96(10):801–808. CrossRef
- Debette S, Leys D: Cervical-artery dissections: predisposing factors, diagnosis and outcome. Lancet Neurol 2009,8(7):668–678. CrossRef
- Sharma AM, Herrera B, Aronow HD: Simultaneous spontaneous coronary and vertebral artery dissection in a postpartum woman. J Invasive Cardiol 2010,22(12):E229–232.
- Motreff P, Souteyrand G, Dauphin C, Eschalier R, Cassagnes J, Lusson JR: Management of spontaneous coronary artery dissection: review of the literature and discussion based on a series of 12 young women with acute coronary syndrome. Cardiology 2010,115(1):10–18. CrossRef
- Ito H, Taylor L, Bowman M, Fry ET, Hermiller JB, Van Tassel JW: Presentation and therapy of spontaneous coronary artery dissection and comparisons of postpartum versus nonpostpartum cases. Am J Cardiol 2011,107(11):1590–1596. CrossRef
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- Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
BMC Pregnancy and Childbirth
- Online Date
- November 2012
- Online ISSN
- BioMed Central
- Additional Links
- Spontaneous dissection
- Author Affiliations
- 1. Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada
- 2. Institute of Cardiovascular Sciences, St. Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba, Canada
- 3. Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- 4. Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada
- 5. Cardiology, 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, 409 Taché Avenue, Winnipeg, Manitoba, R2H 2A6, Canada