Rescue angioplasty in a 33-year old woman with oral contraception and dilated coronariopathy

Authors

  • Francisco L. Moreno-Martínez Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Luis F. Vega Fleites Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Héctor A. Fleites Cárdenas Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Rosendo S. Ibargollín Hernández Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Rafael S. León de la Torre Centro de Atención Cardiovascular de Camagüey
  • Justo de Lara Abab Centro de Atención Cardiovascular de Camagüey
  • Omaida J. López Berna Hospital Provincial Universitario Cardiocentro Ernesto Guevara

Keywords:

pathologic dilatation, percutaneous transluminal coronary angioplasty, oral contraceptives

Abstract

Coronary angioplasty is recognized nowadays as the first-choice therapeutic strategy for acute coronary syndrome with ST-segment elevation. Atherosclerotic disease is still the main cause of this sickness; however, other disturbances, such is dilated coronariopathy, may favor this coronary event. Although some authors raise that atherosclerosis is the main cause of coronary dilation, it is uncommon that this lipid disorder promotes consequences early in life. We present the case of a 33-year-old female (oral contraceptive user - etinor) who had not any apparent coronary risk factor but suffered from inferior acute myocardial infarction. The thrombolysis failed, and fortunately we could perform the angioplasty. Intracoronary thrombosis with distal embolism occurred, that was why we administered streptokinase. Possible mechanisms that involve oral contraceptives and dilated coronariopathy are discussed, and angiographic images are shown.

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Published

2025-08-02

How to Cite

1.
Moreno-Martínez FL, Vega Fleites LF, Fleites Cárdenas HA, Ibargollín Hernández RS, León de la Torre RS, de Lara Abab J, et al. Rescue angioplasty in a 33-year old woman with oral contraception and dilated coronariopathy. CorSalud [Internet]. 2025 Aug. 2 [cited 2025 Aug. 3];1(3). Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/1082

Issue

Vol. 1 No. 3 (2009)

Section

CASE REPORTS

Categories

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