Spontaneous dissection of coronary arteries in the puerperium. Case report

Authors

  • Yoanis Cárdenas Fernández HOSPITAL FINLAY
  • Edel M. Sánchez Redonet
  • Roger Ravelo Dopico
  • Geovedys Martínez García
  • Eliset Valdés Carrazana
  • Liz O. Rodríguez Cruz

Abstract

The spontaneous dissection of a coronary artery during pregnancy is a rare cause of acute myocardial infarction, with a high risk of maternal death. It can be diagnosed through coronary angiography, although many cases are diagnosed during autopsy. There is presented the case of a 38-year-old white woman, smoker, multiparous, that at the fifth day postpartum presented midthoracic, oppressive and intense pain, and the electrocardiogram evidenced an extensive acute anterior myocardial infarction. The coronary angiography showed dissection of the left coronary artery including the left main, the left anterior descending and the circumflex artery. A primary angioplasty was performed and there was a hyperacute thrombosis of the implanted stent. The patient died on the fifth day in refractory cardiogenic shock. There are no standard treatment recommendations, the primary angioplasty is considered the treatment of choice. The multidisciplinary integration of cardiologist, obstetrician, cardiac surgeon and anesthesiologist is essential to decide the best treatment.

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References

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Published

2019-04-06

How to Cite

1.
Cárdenas Fernández Y, Sánchez Redonet EM, Ravelo Dopico R, Martínez García G, Valdés Carrazana E, Rodríguez Cruz LO. Spontaneous dissection of coronary arteries in the puerperium. Case report. CorSalud [Internet]. 2019 Apr. 6 [cited 2025 Jul. 2];11(2):179-83. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/369

Issue

Vol. 11 No. 2 (2019)

Section

CASE REPORTS

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