Transesophageal echo detection of postpartum coronary artery dissection.
A 40-year-old woman, 1 week postpartum, presented with an acute anterior-septal myocardial infarction, caused by an intrawall hematoma (dissection without intimal flap) in her proximal left anterior descending coronary artery-the diagnosis being initially suggested by transesophageal echo. Discussion of this entity follows.
Lerakis
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S
Division of Cardiology, Department of Medicine, Emory University School of Medicine, 1364 Clifton Road NW, Atlanta, GA 30322, USA.
Manoukian
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Martin
R P
RP
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D006328:Cardiac Catheterization; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011644:Puerperal Disorders / Q000000981:diagnostic imaging*