Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature

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Date
2012-11-02
Authors
Cenkowski, Marta
daSilva, Megan
Bordun, Kimberly-Ann
Hussain, Farrukh
Kirkpatrick, Iain DC
Jassal, Davinder S
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Abstract
Abstract Background Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period. Case presentation This report describes a 35-year-old female who presented with an acute inferior ST elevation myocardial infarction 7 months post-partum secondary to spontaneous dissection of the left obtuse marginal coronary artery. Despite appropriate medical therapy with dual anti-platelet therapy, the patient presented four weeks later with a spontaneous dissection of the right vertebral artery. Conclusion We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.
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BMC Pregnancy and Childbirth. 2012 Nov 02;12(1):122