Postpartum myocardial infarction.
A 29 year old woman had a myocardial infarction three weeks post partum. Coronary angiography was performed six days later. No abnormalities were seen initially, but re-injection of the left coronary artery resulted in a dissection that extended through the anterior descending and circumflex branches and a reinfarction. This case suggests that myocardial infarctions occurring in patients with angiographically normal coronary arteries may be caused by dissections that heal by the time of catheterisation.
Movsesian
M A
MA
Cardiology Division, University of Utah Medical Center, Salt Lake City 84108.
Wray
R B
RB
D000328:Adult; D000784:Aortic Dissection / Q000150:complications; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology*