Pregnancy associated spontaneous coronary artery dissection:A case report and review of literature  

作　　者：Kalyan Prudhvi Jayasree Jonnadula Venkata Ram Pradeep Rokkam Gurusaravanan Kutti Sridharan 

机构地区：[1]Division of Critical Care Medicine,Mercy Hospital,Saint Louis University School of Medicine,St.Louis,MO 63141,United States [2]Department of Geriatric Medicine,Barnes Jewish Hospital/Washington University,St.Louis,MO 63110,United States [3]Division of Inpatient Medicine,University of Arizona/Banner University Medical Center,Tucson,AZ 85719,United States

出　　处：《World Journal of Cardiology》2021年第4期103-110,共8页世界心脏病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Pregnancy-associated spontaneous coronary artery dissection(PSCAD)is an important cause of chest pain and acute myocardial infarction in pregnant and postpartum women.Pregnancy is considered an isolated risk factor for spontaneous coronary artery dissection.The etiology,pathogenesis,and incidence of PSCAD are not known.CASE SUMMARY We present a case of a 33-year-old postpartum female who presented with sudden onset chest pain and was diagnosed with spontaneous coronary artery dissection and needed urgent catheterization revealing left anterior descending coronary artery dissection.She underwent emergent coronary artery bypass graft surgery with good post-operative recovery.CONCLUSION Most patients with PSCAD can be managed conservatively with medical management and have good outcomes.Patients with high-risk presentations benefit from the invasive approach.Coronary artery bypass graft may be required in select few patients based on angiography findings.Due to the risk of recurrent spontaneous coronary artery dissection,subsequent pregnancies are discouraged.

关 键 词：PREGNANCY Spontaneous artery dissection Acute coronary syndrome Coronary artery bypass surgery Percutaneous coronary intervention PREGNANCY DISSECTION Myocardial Infraction Case report 

分 类 号：R714.252[医药卫生—妇产科学]