Spontaneous coronary artery dissection during hemodialysis in the post-abortion period.
Spontaneous coronary dissection (SCAD) is an unusual cause of acute myocardial infarction with complex pathophysiology. We present a case of acute inferior myocardial infarction resulting from spontaneous coronary artery dissection of the right coronary artery in a 33-year-old woman during the hemodialysis due to a recent abortion and consequent curettage at first trimester of her pregnancy. This report describes a previously healthy woman without traditional cardiovascular risk factors who presented with an acute inferior myocardial infarction. Spontaneous coronary artery dissection (SCAD) should be considered as a cause of the acute myocardial infarction in young patients without traditional risk factors for coronary artery disease, in females in the both peri-partum and post-abortion period.
Iltumur
Kenan
K
Karahan
Zulkuf
Z
Ozmen
Sehmus
S
Danis
Ramazan
R
Toprak
Nizamettin
N
D058186:Acute Kidney Injury / Q000150:complications / Q000628:therapy; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology*; D006435:Renal Dialysis / Q000009:adverse effects*