Key result
Percutaneous coronary intervention with stenting successfully restored TIMI III distal flow in two 30-year-old peripartum/postpartum women with acute myocardial infarction due to spontaneous coronary artery dissection.
Case Report (n=2)
No
PCI with stenting can be an effective treatment strategy for single or multivessel spontaneous coronary artery dissection (SCAD) in peripartum or postpartum women presenting with acute myocardial infarction.
Supports PCI feasibility in peripartum SCAD-AMI; hypothesis-generating and should not yet change practice.
Spontaneous coronary artery dissection (SCAD) is a very rare condition which may result in sudden coronary occlusion, acute myocardial infarction and sudden cardiac death. It usually occurs in young women during pregnancy or postpartum period and in most cases it involves a single coronary artery. The exact etiology is unknown. The prognosis of SCAD is uncertain and optimal treatment is unknown. Early diagnosis and treatment are key for survival, and when identified early, mortality rate is reduced. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22265 Cardiovasc. j. 2015; 7(2): 153-158
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Islam et al. (2015) conducted a case report in Spontaneous coronary artery dissection (SCAD) with acute myocardial infarction (n=2). Percutaneous coronary intervention (PCI) with stenting was evaluated on Restoration of coronary blood flow (TIMI III). Percutaneous coronary intervention with stenting successfully restored TIMI III distal flow in two 30-year-old peripartum/postpartum women with acute myocardial infarction due to spontaneous coronary artery dissection.
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