Postpartum coronary artery dissection.
A 34-year-old woman presented to the emergency department 12 weeks postpartum with chest pain. An ECG indicated an acute myocardial infarction. The patient underwent cardiac catheterization with findings suggestive of coronary artery dissection later confirmed on intravascular ultrasonography. She underwent emergency coronary artery bypass grafting and has subsequently done well.
Vilke
G M
GM
Department of Emergency Medicine, University of California, San Diego Medical Center, 92103, USA. gmvilke@ucsd.edu
Mahoney
G
G
Chan
T C
TC
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000601:surgery; D018084:Ultrasonography, Interventional