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Spontaneous coronary dissection during postpartum: etiology and controversies in management

Yolanda Carrascal Hinojal1, Salvatore Di Stefano, Santiago Florez

  • 1Division of Cardiac Surgery, ICICOR, University Hospital, Valladolid, Spain. aguerrerop@medynet.com

Italian Heart Journal : Official Journal of the Italian Federation of Cardiology
|October 19, 2004
PubMed

A 31-year-old female with a history of toxic oil syndrome in childhood, presented with spontaneous left main coronary dissection 4 weeks after an uncomplicated delivery. She had an extensive myocardial infarction, severe left ventricular dysfunction and cardiogenic shock which did not resolve following urgent surgical revascularization. Temporary left ventricular support and heart transplantation were necessary. We analyze the etiology and treatment sequence in what to our knowledge is the first case with these characteristics to be reported.

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