Key result
Intra-aortic balloon pump and two-vessel off-pump surgical revascularization successfully treated a 38-year-old woman with postpartum acute coronary syndrome and coronary artery dissection.
Case Report (n=1)
This case highlights the successful management of postpartum acute coronary syndrome complicated by iatrogenic coronary dissection using an intra-aortic balloon pump and off-pump surgical revascularization.
Answers are grounded in this paper and cite their sources.
Supports feasibility of IABP-assisted off-pump revascularization in postpartum SCAD; hypothesis-generating and requires prospective validation before practice change.
A 38-year-old woman presented with acute coronary syndrome 9 days postpartum. Coronary catheterization showed an intramural hematoma of the left main artery (LM) and the left anterior descending artery (LAD). During angiography, dissection of the LM, with involvement of the LAD and circumflex artery occurred. The patient presented unstable hemodynamic status. After resuscitation, intra-aortic balloon pump was inserted. The patient underwent two-vessel off-pump surgical revascularization. She was discharged 10 days later.
No takes yet. Share an insight, caveat, or question.
Julià et al. (2012) conducted a case report in Postpartum acute coronary syndrome (n=1). Intra-aortic balloon pump and two-vessel off-pump surgical revascularization was evaluated. Intra-aortic balloon pump and two-vessel off-pump surgical revascularization successfully treated a 38-year-old woman with postpartum acute coronary syndrome and coronary artery dissection.
Synapse has enriched 10 related papers. Consider them for comparative context: