Two-Vessel Coronary Artery Dissection in the Peripartum Period

Abstract

The authors report a case of early peripartum myocardial infarction resulting from spontaneous dissection of the left anterior descending coronary artery and right coronary artery in a twenty-four-year-old woman. This is the first report of double-vessel coronary dissection involving both the left and right coronary arteries diagnosed antemortem and successfully treated.

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References

Ginz B. : Myocardial infarction in pregnancy. J Obstet Gynecol Br Commonw 77:610-615, 1970.

Gonzalez J. , Hill JA , Conti RC : Spontaneous coronary artery dissection treated with percutaneous transluminal angioplasty. Am J Cardiol 63:885-886, 1989.

Shaver PJ , Carrig TF , Baker WP : Postpartum coronary artery dissection. Br Heart J 40:83-86, 1978.

Bulkley BH , Roberts WC : Dissecting aneurysm (hematoma) limited to coronary artery. Am J Med 55:747-756, 1973.

Movsesian MA , Wray RB : Postpartum myocardial infarction. Br Heart J 62:154-156, 1989.

Benson PA : Dissecting aneurysms of the right and left coronary arteries. J Forensic Sci 15:65, 1970.

Pretty HC : Dissecting aneurysm of coronary artery in a woman aged 42: Rupture. Br Med J 1:667, 1931.

Vicari R. , Eybel C. , Monson D. : Survival following spontaneous coronary artery dissection: Surgical repair by extrusion of intramural hematoma Am Heart J 111:593-594, 1986.

Matheiu D. , Larde D. , Vasile N. : Primary dissecting aneurysms of the coronary arteries: Case report and literature review. Cardiovasc Intervent Radiol 7:71-74, 1984.

10.

Giudici MC , Artis AK , Webel RR , et al: Postpartum myocardial infarction treated with percutaneous transluminal coronary angioplasty Am Heart J 118:614-616, 1989.

11.

Smith JC : Dissecting aneurysm of coronary arteries. Arch Pathol 99:117-121, 1975.

12.

Menalo-Estrella P. , Barker AE : Histopathologic findings in human aortic media associated with pregnancy. Arch Pathol 83:336-341, 1967.

13.

Bonnet J. , Aumailley M. , Thomas D. , et al: Spontaneous coronary artery dissection: Case report and evidence for a defect in collagen metabolism. Eur Heart J 7:904-909, 1986.

14.

Ganong WF : Central regulation of visceral function. In: Review of Medical Physiology, 14th edition, Appleton and Lange, Norwalk, CT, 1989, p 204.

15.

Meyers FH , Jawetz E. , Goldfien A. : Hypothalamic and pituitary hormones. In: Review of Medical Pharmacology, Lange, Los Altos, CA, 1978, p 436.

16.

Claudon D. , Claudon D. , Edwards J. : Primary dissecting aneurysm of coronary artery. Circulation 45:259-266, 1972.

17.

Bruschke Avg , Bruyneel Kff , Block A. , et al: Acute myocardial infarction without obstructive coronary artery disease demonstrated by selective cinearteriography . Br Heart J 33:585-594, 1971.

18.

Duke M. : Pregnancy, myocardial infarction and normal coronary arteries: A case study and long-term follow-up. Conn Med 46:626-628, 1982.

19.

Cohen WR , Steinman T. , Patsner B. , et al: Acute myocardial infarction in a pregnant woman at term. JAMA 250:2179-2181, 1983.