SPONTANEOUS RIGHT CORONARY ARTERY DISSECTION IN A NORMOTENSIVE POST-PARTUM FEMALE
Abstract
Acute myocardial infarction following coronary artery dissection during the post-partum period is a rare entity. Greater hemodynamic stress and hormonal changes increase the risk of developing a coronary artery dissection post-partum. Herein, we report the first case of a normotensive patient from Pakistan that presented with inferior wall myocardial infarction following 10-days post-partum due to right coronary artery dissection. This article highlights the importance of prompt diagnosis and subsequent life-saving treatment.
Keywords: myocardial infarction; post-partum; coronary artery dissection; right coronary arteryReferences
Roth A, Elkayam U. Acute myocardial infarction associated with pregnancy. Ann Intern Med 1996;125(9):751-62.
Goel K, Tweet M, Olson TM, Maleszewski JJ, Gulati R, Hayes SN. Familial spontaneous coronary artery dissection: evidence for genetic susceptibility. JAMA Intern Med 2015;175(5):821-6.
Pretty HC. Dissecting aneurysm of coronary artery in a woman aged 42: rupture. Br Med J 1931;1:667.
Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management and prognosis of spontaneous coronary artery dissection. Circulation 2012;126(5):579-88.
Evans R. Post-partum spontaneous coronary artery dissection and the use of veno-arterial extra-corporeal membrane oxygenation. Nurs Crit Care 2014;19(6):304-9.
Balogun-Lynch J, Shah H, Porter B. Coronary artery dissection in the postpartum period. BMJ Case Rep 2014;2014:bcr2014206658.
Lezcano Gort LE, Romani SA, Rodriguez Carreras CR. Postpartum multivessel spontaneous coronary artery dissection. Rev Esp Cardiol 2016;69(8):781-2.
Kamineni R, Sadhu A, Alpert JS. Spontaneous coronary artery dissection: report of two cases and a 50-year review of the literature. Cardiol Rev 2002;10(5):279-84.
Henkin S, Negrotto SM, Tweet MS, Kirmani S, Deyle DR, Gulati R, et al. Spontaneous coronary artery dissection and its association with heritable connective tissue disorders. Heart 2016;102(11):876-81.
Thompson EA, Ferraris S, Gress T, Ferraris V. Gender differences and predictors of mortality in spontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol 2005;17(1):59-61.
Chou AY, Saw J. Basis for sex-specific expression of Takotsubo cardiomyopathy, cardiac syndrome X, and spontaneous coronary artery dissection. Can J Cardiol 2014;30(7):738-46.
Vrints CJ. Spontaneous coronary artery dissection. Heart 2010;96(10):801-8.
Manalo-Estrella P, Barker AE. Histopathologic findings in human aortic media associated with pregnancy. Arch Pathol 1967;83(4):336-41.
Wingrove CS, Garr E, Godsland IF, Stevenson JC. 17β-Oestradiol enhances release of matrix metalloproteinase-2 from human vascular smooth muscle cells. Biochim Biophys Acta 1998;1406(2):169-74.
Elkayam U, Gleicher N. Cardiac problems in pregnancy: Diagnosis and management of maternal and fetal heart disease. John Wiley & Sons; 1998.
Robinowitz M, Virmani R, McAllister HA JrU. Spontaneous coronary artery dissection and eosinophilic inflammation: a cause and effect relationship? Am J Med 1982;72(6):923-8.
Saw J, Aymong E, Sedlak T, Buller CE, Starovoytov A, Ricci D, et al. Spontaneous Coronary Artery Dissection. Circulation: Cardiovasc Interv 2014;7(5):645-55.
Higgins GL, Borofsky JS, Irish CB, Cochran TS, Strout TD. Spontaneous peripartum coronary artery dissection presentation and outcome. J Am Board Fam Med 2013;26(1):82-9.
Wain-Hobson J, Roule V, Dahdouh Z, Sabatier R, Lognoné T, Grollier G. Spontaneous coronary artery dissection: one entity with several therapeutic options. Cardiovas Revasc Med 2012;13(3):203.
Appleby CE, Barolet A, Ing D, Ross J, Schwartz L, seidelin P, et al. Contemporary management of pregnancy-related coronary artery dissection: A single-centre experience and literature review. Exp Clin Cardiol 2009;14(1):e8-16.
Lin AH, Shutt BJ, Dendall RT, Bennett W. Multivessel spontaneous coronary artery dissection treated with staged percutanous coronary intervention in a non-postpartum female. BMJ Case Rep 2012;2012:bcr2012007274.
Hunt B, Chua R, Bett N. Conservative treatment of spontaneous dissection of multiple coronary arteries. Heart Lung Circ 2010;19(11):678-80.
Mortensen KH, Thuesen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: a Western Denmark Heart Registry study. Catheter Cardiovasc Interv 2009;74(5):710-7.
Moukarbel GV, Alam SE. Spontaneous Coronary Artery Dissection: Management Options in the stent era. J Inveasive Cardiol 2004;16(6):333-5.
De Bono D. Complications of diagnostic cardiac catheterisation: results from 34,041 patients in the United Kingdom confidential enquiry into cardiac catheter complications. The Joint Audit Committee of the British Cardiac Society and Royal College of Physicians of London. Br Heart J 1993;70(3):297-300.
Shahzad K, Cao L, Ain QT, Waddy J, Khan N, Nekkanti R. Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: a case report and literature review. J Med Case Rep 2013;7(1):82.
Saw J. Spontaneous coronary artery dissection. Can J Cardiol 2013;29(9):1027-33.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.