Medical therapy resulted in an uneventful clinical course for a 35-year-old pregnant woman with peripartal spontaneous coronary artery dissection and myocardial infarction prior to delivery.
Case Report (n=1)
This case demonstrates that medical therapy can be a viable strategy for peripartum spontaneous coronary artery dissection presenting with myocardial infarction prior to delivery.
This report describes a 35-year-old 40 week pregnant woman who was hospitalized with a diagnosis of acute anteroseptal myocardial infarction. She sustained another, infero-posterior, infarction 4 days later. Coronary arteriography performed after successful Cesearean section displayed primary dissections of the right as well as both left coronary arteries. Her subsequent clinical course was uneventful with medical therapy. This patient is the first non-surgically treated survivor of peripartal spontaneous coronary artery dissection with a myocardial infarction prior to delivery.
Bac et al. (Sun,) conducted a case report in Spontaneous coronary artery dissection (n=1). Medical therapy was evaluated. Medical therapy resulted in an uneventful clinical course for a 35-year-old pregnant woman with peripartal spontaneous coronary artery dissection and myocardial infarction prior to delivery.
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