Postpartum spontaneous coronary, vertebral, and mesenteric artery dissections: a case report

Journal of Medical Case Reports - Tập 10 - Trang 1-5 - 2016
Sean Spence1,2, Maneesh Sud1,2, Ravi Bajaj1,2, Anna Zavodni3,2, Sharron Sandhu4,2, Mina Madan1,2
1Division of Cardiology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada
2Sunnybrook Health Sciences Centre, Toronto, Canada
3Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada
4Division of Rheumatology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada

Tóm tắt

Spontaneous coronary artery dissection is a rare cause of myocardial infarction that must always be considered on a clinician’s differential diagnosis, particularly in patients <50-years old with a paucity of typical vascular risk factors. We describe a case of a 33-year-old white woman, 3 weeks postpartum, presenting with retrosternal chest and back pain, neck pain and stiffness, and intermittent headaches. Subsequent workup revealed concurrent spontaneous dissections in three separate medium-sized arterial beds. She was successfully managed in a conservative fashion, highlighting that percutaneous or surgical revascularization can often be foregone in favor of conservative medical therapy.

Tài liệu tham khảo

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