Simultaneous spontaneous coronary and vertebral artery dissection in a postpartum woman.
Spontaneous coronary and vertebral artery dissection are rare but life-threatening conditions. They are more prevalent in pregnant and postpartum women with few atherosclerotic risk factors than in the general population. The pathophysiology of spontaneous arterial dissections remains ambiguous and the management may be challenging. We present a case of simultaneous spontaneous coronary and vertebral artery dissection in a postpartum woman. We review the presentation, diagnosis, clinical course and management and place this in context with the existing literature.
Department of Internal Medicine, Saint Joseph Mercy Hospital, Ann Arbor, Michigan, USA.
Aditya M
AM
Sharma
Brenda
B
Herrera
Herbert D
HD
Aronow
D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000601:surgery; D000787:Angina Pectoris / Q000209:etiology; D015897:Comorbidity; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D005260:Female; D006801:Humans; D049590:Postpartum Period; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000601:surgery