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BMC Pregnancy and Childbirth

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Open Access 01-12-2012 | Case report

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

Authors: Marta Cenkowski, Megan daSilva, Kimberly-Ann Bordun, Farrukh Hussain, Iain DC Kirkpatrick, Davinder S Jassal

Published in: BMC Pregnancy and Childbirth | Issue 1/2012

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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Debette S, Leys D: Cervical-artery dissections: predisposing factors, diagnosis and outcome. Lancet Neurol. 2009, 8 (7): 668-678. 10.1016/S1474-4422(09)70084-5.CrossRefPubMed

Sharma AM, Herrera B, Aronow HD: Simultaneous spontaneous coronary and vertebral artery dissection in a postpartum woman. J Invasive Cardiol. 2010, 22 (12): E229-232.PubMed

Motreff P, Souteyrand G, Dauphin C, Eschalier R, Cassagnes J, Lusson JR: Management of spontaneous coronary artery dissection: review of the literature and discussion based on a series of 12 young women with acute coronary syndrome. Cardiology. 2010, 115 (1): 10-18. 10.1159/000244608.CrossRefPubMed

Ito H, Taylor L, Bowman M, Fry ET, Hermiller JB, Van Tassel JW: Presentation and therapy of spontaneous coronary artery dissection and comparisons of postpartum versus nonpostpartum cases. Am J Cardiol. 2011, 107 (11): 1590-1596. 10.1016/j.amjcard.2011.01.043.CrossRefPubMed

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2393/12/122/prepub

Title: Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature
Authors: Marta Cenkowski
Megan daSilva
Kimberly-Ann Bordun
Farrukh Hussain
Iain DC Kirkpatrick
Davinder S Jassal
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2012
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/1471-2393-12-122

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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