Thorac Cardiovasc Surg 2013; 61(01): 085-087
DOI: 10.1055/s-0032-1331152
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Postpartum Acute Coronary Syndrome Due to Intramural Hematoma and Coronary Artery Dissection

Ignasi Julià
1   Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Autonoma University of Barcelona, Barcelona, Spain
,
Manel Tauron
1   Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Autonoma University of Barcelona, Barcelona, Spain
,
Christian Muñoz-Guijosa
1   Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Autonoma University of Barcelona, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

16 May 2012

13 June 2012

Publication Date:
16 November 2012 (online)

Abstract

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.

 
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