Off-pump coronary artery bypass grafting is a viable and safe emergency revascularization strategy for spontaneous coronary artery dissection in post-partum patients, minimizing the risk of further aortic dissection.
Supports OPCABG feasibility in emergent post-partum SCAD; hypothesis-generating and should not yet change practice.
Spontaneous coronary artery dissections are an infrequent cause of myocardial infarction and have been reported in late stages of pregnancy and in the puerperium phase. We report a case of a 26-year-old post-partum woman who was diagnosed with a spiral coronary dissection of the left anterior descending artery, with a compromised diagonal branch. She underwent an emergent surgical revascularization without the use of cardiopulmonary bypass. The patient’s in-hospital clinical course, prognosis, treatment, and potential etiologies are discussed.
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Patel et al. (2008) studied this question.
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