Spontaneous coronary artery dissection as a cause of sudden cardiac death in the peripartum period.
Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes and can be potentially fatal. The authors describe a case of multi-vessel coronary artery dissection occurring in a young postpartum mother. The diagnosis was established by coronary artery angiography. However, the patient died following a cardiac arrest. The authors discuss the methods of investigation available and the different treatment options.
Wiltshire Cardiac Centre, The Great Western Hospital, Swindon, Wiltshire, UK. jatinderpabla@hotmail.com
Jatinder Singh
JS
Pabla
Lawrence
L
John
William A
WA
McCrea
D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology; D016757:Death, Sudden, Cardiac / Q000209:etiology* / Q000473:pathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000473:pathology; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology