title: A 36-Year-Old Woman with Coronary Artery Dissection Two Weeks after Abortion.
abstract: Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. We report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. Electrocardiography showed ST elevation in leads V2-V4 and ST depression in the inferior leads. Lab data were normal. Cardiac catheterization showed a suspicious thrombotic lesion at the proximal portion of the left anterior descending artery with a smooth contour consistent with distal haziness and dissection site. Final diagnosis was coronary artery dissection. At 1 week's follow-up, the patient was in good physical condition. At 1 month's follow-up, she had no complaints of discomfort. And finally, 8 months after having suffered a heart attack, she presented no evidence of angina, dyspnea, or congestive heart failure Spontaneous coronary artery dissection is a rare disease that mainly affects younger women. Compared with earlier reports, the prognosis seems to be improved by early diagnosis and interventional treatment.
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Arsalan
authors.initials: A
authors.lastname: Salari
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Mahboobe
authors.initials: M
authors.lastname: Gholipur
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Maedeh
authors.initials: M
authors.lastname: Rezaeidanesh
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Anoosh
authors.initials: A
authors.lastname: Barzigar
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Rahmani
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Mohadeseh
authors.initials: M
authors.lastname: Pursadeghi
authors.affiliation: Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Hannan
authors.initials: H
authors.lastname: Ebrahimi
keywords: Abortion, spontaneous; Coronary artery dissection, spontaneous; Diagnostic techniques and procedures