Coronary angiography of pregnancy-associated coronary artery dissection: a high-risk procedure

被引：8

作者：

Martins, Raphael Pedro ^{[1
,2
,3
,4
]}

Leurent, Guillaume ^{[1
,2
,3
,4
]}

Corbineau, Herve ^{[5
]}

Fouquet, Olivier ^{[5
]}

Seconda, Sebastien ^{[6
]}

Baruteau, Alban E. ^{[1
,2
,3
,4
]}

Moreau, Olivier ^{[1
,2
,3
,4
]}

Le Breton, Herve ^{[1
,2
,3
,4
]}

Bedossa, Marc ^{[1
,2
,3
,4
]}

机构：

[1] CHU Rennes, Serv Cardiol & Malad Vasculaires, F-35000 Rennes, France

[2] Univ Rennes 1, LTSI, F-35000 Rennes, France

[3] INSERM, U642, F-35000 Rennes, France

[4] INSERM, CIC IT 804, F-35000 Rennes, France

[5] CHU Rennes, Serv Chirurg Thorac & Cardio Vasculaire, F-35000 Rennes, France

[6] CHU Rennes, Serv Gynecol Obstetr, F-35000 Rennes, France

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2010年 / 11卷 / 03期

关键词：

Spontaneous coronary artery dissection; Coronary artery bypass grafting; Ventricular assist device; Pregnancy;

D O I：

10.1016/j.carrev.2009.03.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome occurring predominantly in young women without any cardiovascular risk factors, especially during the peripartum and early postpartum period. Here, we report a case of a 28-year-old pregnant woman who was found to have an isolated distal SCAD of the left anterior descending artery (LAD). Coronary angiography was complicated by extensive LAD and circumflex arteries dissection, requiring an emergency coronary artery bypass grafting associated with ventricular assist device implantation and underlying the extreme fragility of coronary arteries in pregnant women. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：182 / 185

页数：4

共 10 条

[1] Noninvasive coronary artery Imaging - Magnetic resonance angiography and multidetector computed tomography angiography - A scientific statement from the American Heart Association Committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young [J].