title: Off-pump coronary artery bypass grafting for spontaneous coronary dissection in a 26-year-old patient two weeks post-partum: a case report and review.
abstract: Spontaneous coronary artery dissections are an infrequent cause of myocardial infarction and have been reported in late stages of pregnancy and in the puerperium phase. We report a case of a 26-year-old post-partum woman who was diagnosed with a spiral coronary dissection of the left anterior descending artery, with a compromised diagonal branch. She underwent an emergent surgical revascularization without the use of cardiopulmonary bypass. The patient's in-hospital clinical course, prognosis, treatment, and potential etiologies are discussed.
authors.affiliation: Department of Surgery, Memorial Hermann Baptist Hospital, Southeast Texas Cardiology Associated Cardiovascular and Thoracic Surgeons, Beaumont, Texas, USA. patelpump@sbcglobal.net
authors.forename: Kirti P
authors.initials: KP
authors.lastname: Patel
authors.forename: Rodolfo P
authors.initials: RP
authors.lastname: Sotolongo
authors.forename: Terry W
authors.initials: TW
authors.lastname: Myrick
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D003323:Coronary Aneurysm / Q000601:surgery*; D001026:Coronary Artery Bypass; D004452:Echocardiography; D005260:Female; D006801:Humans; D049590:Postpartum Period