title: [Spontaneous coronary artery dissection on the 10th post-partum day: a case report].
abstract: 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.
authors.affiliation: Service de cardiologie, hôpital Erasme, ULB, Route de Lennik 808, 1070 Bruxelles, Belgique.
authors.forename: E
authors.initials: E
authors.lastname: Allagui
authors.forename: P
authors.initials: P
authors.lastname: Delmotte
authors.forename: E
authors.initials: E
authors.lastname: Joly
authors.forename: J L
authors.initials: JL
authors.lastname: Vachiery
authors.forename: N
authors.initials: N
authors.lastname: Preumont
authors.forename: M
authors.initials: M
authors.lastname: Renard
mesh_terms: 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