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Acute coronary artery dissection during pregnancy
1Department of Anesthesia, Maine Medical Center, Portland, ME 04102, USA.
International Journal of Obstetric Anesthesia
|September 1, 1991
Summary
Acute coronary artery dissection is a rare pregnancy complication. This case highlights myocardial infarction from dissection in a woman treated with terbutaline, requiring emergency cesarean delivery and coronary bypass surgery.
Area of Science:
- Cardiology
- Obstetrics & Gynecology
- Cardiovascular Surgery
Background:
- Acute coronary artery dissection is a rare but serious complication during pregnancy.
- It is often diagnosed postmortem, making early identification challenging.
Purpose of the Study:
- To report a case of acute left main coronary artery dissection leading to myocardial infarction in a pregnant patient.
- To discuss the management of this rare obstetric and cardiac emergency.
Main Methods:
- Case report detailing a 24-year-old woman treated for preterm labor with terbutaline.
- Description of clinical presentation, diagnostic findings, and interventions.
Main Results:
- The patient experienced myocardial infarction due to acute left main coronary artery dissection.
- Successful emergency cesarean delivery and coronary artery bypass grafting were performed.
Conclusions:
- Acute coronary artery dissection is a critical condition in pregnancy that requires prompt multidisciplinary management.
- Early recognition and intervention, including delivery and revascularization, can improve outcomes.