[Spontaneous coronary artery dissection on the 10th post-partum day: a case report].
Spontaneous coronary artery dissection is a rare cause of myocardial infarction. It most commonly occurs in young women in the peri-partum period. The aetiology remains obscure. The authors describe the case of a 38 year old woman who suffered an inferior wall myocardial infarction on the 10th post-partum day. After failure of thrombolysis, coronary angiography showed dissection of the right coronary artery. An attempted angioplasty was unsuccessful and the patient was treated medically with a favourable clinical outcome. Spontaneous coronary artery dissection should be considered in all young patients without coronary risk factors presenting with acute myocardial ischaemia, especially young women in the peri-partum period. Emergency coronary angiography should be undertaken to establish the diagnosis and orientate appropriate treatment which may be medical, interventional or surgical.
Allagui
E
E
Service de cardiologie, hôpital Erasme, ULB, Route de Lennik 808, 1070 Bruxelles, Belgique.
Delmotte
P
P
Joly
E
E
Vachiery
J L
JL
Preumont
N
N
Renard
M
M
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000188:drug therapy; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000188:drug therapy