Pregnancy-associated spontaneous coronary artery dissection

被引：18
作者：
Goland, Sorel [1 ]
Schwarz, Ernst R. [2 ]
Siegel, Robert J. [2 ]
Czer, Lawrence S. C. [2 ]
机构：
[1] Kaplan Med Ctr, Div Cardiol, Rehovot, Israel
[2] Cedars Sinai Med Ctr, Div Cardiol, Div Cardiothorac Surg, Los Angeles, CA USA
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2007年 / 197卷 / 06期
关键词：
coronary artery; heart transplantation; pregnancy; spontaneous dissection;
D O I：
10.1016/j.ajog.2007.08.054
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction that occurs particularly in women during the pregnancy and in the postpartum period. We describe a dramatic case of pregnancy-related spontaneous left main coronary artery dissection that resulted in acute myocardial infarction with severe left ventricular dysfunction and was complicated by acute heart failure and cardiogenic shock. Urgent revascularization and restoration of myocardial perfusion that were performed in this case resulted in marked left ventricular function recovery and clinical improvement.
引用
收藏
页码：E11 / E13
页数：3
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