[Myocardial infarction during post-abortion DIC].
We report the case of a 40 year old woman admitted for dilatation and curettage at 12 weeks of amenorrhoea with post-abortion partial placental retention. Clinically she had developed disseminated intravascular coagulation (DIC) complicated by an acute coronary syndrome with persistent ST elevation in the inferior leads. Management of her myocardial ischaemia was symptomatic, due to the underlying complex coagulation disorder making coronary reperfusion techniques impossible. After treatment for the cause of DIC, coronary angiography revealed no detectable angiographic lesion or spasm. In this context, the most likely aetiological hypothesis is a thrombus related to the DIC in an otherwise healthy heart, which was spontaneously lysed.
Service de cardiologie, hôpital universitaire Nord, chemin de Bourrely, 13015 Marseille. Laurent.bonello@tiscali.fr
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D000022:Abortion, Spontaneous; D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D004107:Dilatation and Curettage; D004211:Disseminated Intravascular Coagulation / Q000150:complications*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D018457:Placenta, Retained / Q000601:surgery; D011247:Pregnancy