title: Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature.
abstract: BACKGROUND
  Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.
  
  
  METHODS
  This report describes a 35-year-old female who presented with an acute inferior ST elevation myocardial infarction 7 months post-partum secondary to spontaneous dissection of the left obtuse marginal coronary artery. Despite appropriate medical therapy with dual anti-platelet therapy, the patient presented four weeks later with a spontaneous dissection of the right vertebral artery.
  
  
  CONCLUSIONS
  We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.
authors.affiliation: Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Marta
authors.initials: M
authors.lastname: Cenkowski
authors.forename: Megan
authors.initials: M
authors.lastname: daSilva
authors.forename: Kimberly-Ann
authors.initials: KA
authors.lastname: Bordun
authors.forename: Farrukh
authors.initials: F
authors.lastname: Hussain
authors.forename: Iain D C
authors.initials: ID
authors.lastname: Kirkpatrick
authors.forename: Davinder S
authors.initials: DS
authors.lastname: Jassal
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy