Right coronary artery dissection in a pregnant woman at 36 weeks gestation was successfully treated with extracorporeal membrane oxygenation, intracoronary angioplasty, and stent placement.
Case Report (n=1)
Spontaneous coronary artery dissection should be considered in peripartum women presenting with acute cardiovascular collapse, as it carries high mortality and may require aggressive interventions like ECMO and PCI.
BACKGROUND: Spontaneous coronary dissection is a rare condition occurring more often in women, with a higher frequency during the peripartum period. No specific etiology has been defined to describe this uncommon, yet often fatal phenomenon. CASE: A young woman presented at 36 weeks of a noncomplicated pregnancy with recent onset of diaphoresis, dyspnea, and tingling substernal chest discomfort. Upon evaluation, she developed cardiovascular collapse and ventricular fibrillation requiring aggressive resuscitative measures, eventually leading to extracorporeal membrane oxygenation. Right coronary artery dissection was ultimately diagnosed and treated with intracoronary angioplasty and stent placement. CONCLUSION: Spontaneous coronary dissection must be considered when evaluating a patient with a similar clinical presentation, given its overall mortality of more than 50% at presentation, particularly in the peripartum period.
Ronald McKechnie (Thu,) conducted a case report in Spontaneous coronary artery dissection (n=1). Intracoronary angioplasty and stent placement was evaluated. Right coronary artery dissection in a pregnant woman at 36 weeks gestation was successfully treated with extracorporeal membrane oxygenation, intracoronary angioplasty, and stent placement.