Coronary angiography of pregnancy-associated coronary artery dissection: a high-risk procedure.
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.
Martins
Raphaël Pedro
RP
CHU Rennes, Service de Cardiologie et Maladies Vasculaires, Rennes, F-35000, France. raphael-martins@voila.fr <raphael-martins@voila.fr>
Leurent
Guillaume
G
Corbineau
Hervé
H
Fouquet
Olivier
O
Seconda
Sébastien
S
Baruteau
Alban E
AE
Moreau
Olivier
O
Le Breton
Hervé
H
Bedossa
Marc
M
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