Diagnostic coronary angiography in patients with spontaneous coronary artery dissection carries a risk of iatrogenic propagation, which may necessitate emergent surgical intervention.
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Urges caution with diagnostic angiography in peripartum SCAD; leaves open optimal management strategies.
Spontaneous coronary artery dissection is an uncommon cause of acute myocardial infarction in the general population but is relatively more common in the peripartum period. Regardless of clinical setting, the management strategy is individualised, ranging from conservative to invasive. We report a case of peripartum myocardial infarction due to spontaneous coronary dissection that propagated during diagnostic angiography and ultimately required emergent bypass surgery.
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Desai et al. (2017) studied this question.
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