Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature

BMC Pregnancy and Childbirth

Davinder S Jassal⁴  Iain DC Kirkpatrick¹  Farrukh Hussain³  Kimberly-Ann Bordun²  Megan daSilva²  Marta Cenkowski⁵ 

[1]Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada

[2]Institute of Cardiovascular Sciences, St. Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba, Canada

[3]Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

[4]Cardiology, Radiology and Physiology Rm Y3531, Bergen Cardiac Care Centre Section of Cardiology, Department of Internal Medicine Faculty of Medicine, University of Manitoba St. Boniface General Hospital, 409 Taché Avenue, Winnipeg, Manitoba, R2H 2A6, Canada

[5]Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada

关键词: Imaging;    Pregnancy;    Vasculature;    Spontaneous dissection;   

Others  :  1152067
DOI  :  10.1186/1471-2393-12-122

 received in 2012-07-09, accepted in 2012-10-29,  发布年份 2012

【 摘 要 】

Background

Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.

Case presentation

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.

Conclusion

We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.

【 授权许可】

   
2012 Cenkowski et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

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