Dual coronary emboli in peripartum cardiomyopathy.
Coronary emboli are rare but devastating events. We present the case of a 31-year-old woman with peripartum cardiomyopathy and mural thrombus. She was admitted with an acute, non-ST elevation myocardial infarction. Two emboli were seen on the coronary angiogram: one in the left anterior descending coronary artery and a second in the left circumflex artery. Each embolus resolved after local infusion of eptifibatide at the time of angiography. There has been 1 report in the English-language medical literature of a similar coronary embolic event in the setting of peripartum cardiomyopathy; however, in that case, only 1 embolus was found. Our case further documents embolic coronary occlusion as a consequence of peripartum cardiomyopathy.
Box
Lyndon C
LC
Department of Internal Medicine, Carraway Methodist Medical Center, Birmingham, Alabama, USA. lcbox@yahoo.com
Hanak
Viktor
V
Arciniegas
Joaquin G
JG
D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D011644:Puerperal Disorders / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000150:complications*
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