title: Postpartum acute coronary syndrome due to intramural hematoma and coronary artery dissection.
abstract: A 38-year-old woman presented with acute coronary syndrome 9 days postpartum. Coronary catheterization showed an intramural hematoma of the left main artery (LM) and the left anterior descending artery (LAD). During angiography, dissection of the LM, with involvement of the LAD and circumflex artery occurred. The patient presented unstable hemodynamic status. After resuscitation, intra-aortic balloon pump was inserted. The patient underwent two-vessel off-pump surgical revascularization. She was discharged 10 days later.
authors.affiliation: Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Autonoma University of Barcelona, Barcelona, Spain.
authors.forename: Ignasi
authors.initials: I
authors.lastname: Julià
authors.forename: Manel
authors.initials: M
authors.lastname: Tauron
authors.forename: Christian
authors.initials: C
authors.lastname: Muñoz-Guijosa
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D004562:Electrocardiography; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D049590:Postpartum Period; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012151:Resuscitation; D013997:Time Factors; D016896:Treatment Outcome