title: Spontaneous coronary artery dissection in the postpartum period.
abstract: Spontaneous coronary artery dissection is a very uncommon cause of acute coronary syndrome. It occurs predominantly in young to middle-aged women during or after pregnancy. The aetiology remains uncertain. Possible factors are hormonal changes, haemodynamic stress and changes in autoimmune status. In case of single-vessel dissection and normal blood flow, conservative treatment often leads to complete angiographic resolution. This case report describes the clinical presentation, diagnosis and therapy of spontaneous coronary artery dissection in a 37-year-old woman in the postpartum period. (Neth Heart J 2008;16:412-4.).
authors.affiliation: Department of Cardiology, Amphia Hospital, Breda; currently working at St Anthonius Hospital, Nieuwegein, the Netherlands.
authors.forename: B J L
authors.initials: BJ
authors.lastname: Van den Branden
authors.forename: W A J
authors.initials: WA
authors.lastname: Bruggeling
authors.forename: H M A
authors.initials: HM
authors.lastname: Corbeij
authors.forename: P H J M
authors.initials: PH
authors.lastname: Dunselman