title: Coronary angiography of pregnancy-associated coronary artery dissection: a high-risk procedure.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome occurring predominantly in young women without any cardiovascular risk factors, especially during the peripartum and early postpartum period. Here, we report a case of a 28-year-old pregnant woman who was found to have an isolated distal SCAD of the left anterior descending artery (LAD). Coronary angiography was complicated by extensive LAD and circumflex arteries dissection, requiring an emergency coronary artery bypass grafting associated with ventricular assist device implantation and underlying the extreme fragility of coronary arteries in pregnant women.
authors.affiliation: CHU Rennes, Service de Cardiologie et Maladies Vasculaires, Rennes, F-35000, France. raphael-martins@voila.fr <raphael-martins@voila.fr>
authors.forename: Raphaël Pedro
authors.initials: RP
authors.lastname: Martins
authors.forename: Guillaume
authors.initials: G
authors.lastname: Leurent
authors.forename: Hervé
authors.initials: H
authors.lastname: Corbineau
authors.forename: Olivier
authors.initials: O
authors.lastname: Fouquet
authors.forename: Sébastien
authors.initials: S
authors.lastname: Seconda
authors.forename: Alban E
authors.initials: AE
authors.lastname: Baruteau
authors.forename: Olivier
authors.initials: O
authors.lastname: Moreau
authors.forename: Hervé
authors.initials: H
authors.lastname: Le Breton
authors.forename: Marc
authors.initials: M
authors.lastname: Bedossa
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D006328:Cardiac Catheterization / Q000379:methods; D002585:Cesarean Section; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D015150:Echocardiography, Doppler / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D018570:Risk Assessment; D017211:Treatment Failure