July 22, 2010European Journal of Cardio-Thoracic Surgery

Post-partum coronary artery dissection

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Structured PICO

Population

A healthy 32-year-old female presenting with NSTEMI 2 weeks following an uneventful pregnancy and caesarian section, found to have a non-stentable coronary artery dissection (n=1).

Intervention

Coronary artery bypass grafting (CABG) using left internal mammary artery (LIMA) to left anterior descending (LAD) artery.

Outcome

Post-operative recovery

CABG is a viable and successful treatment option for post-partum patients presenting with NSTEMI due to non-stentable coronary artery dissection.

Discussion

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Implication

May support CABG consideration in post-partum NSTEMI from non-stentable SCAD; hypothesis-generating and requires validation before practice change.

Cite This Study

Rajab et al. (2010) studied this question.

synapsesocial.com/papers/6a0374910ef592079c2e6bfc https://doi.org/10.1016/j.ejcts.2010.02.043

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Implication

May support CABG consideration in post-partum NSTEMI from non-stentable SCAD; hypothesis-generating and requires validation before practice change.