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Updated: Aug 15, 2026
07:02
Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
Published on: September 9, 2020
[Post-partum spontaneous coronary artery dissection. Clinical report]
Ivan Bravio1, Nelson Castelão, Rita Duarte
1Serviço de Cirurgia Cardio-Torácica, Hospital de Santa Marta, Lisboa.
Summary
A 32-year-old woman experienced spontaneous coronary artery dissection postpartum, leading to acute myocardial infarction. She successfully recovered after triple coronary bypass surgery, returning to a normal life.
Area of Science:
- Cardiology
- Vascular Surgery
- Obstetrics
Background:
- Spontaneous coronary artery dissection (SCAD) is a rare but serious condition.
- Postpartum SCAD can occur in young, otherwise healthy women.
- Acute myocardial infarction (MI) requires prompt diagnosis and intervention.
Observation:
- A 32-year-old woman presented with acute myocardial infarction on the 6th postpartum day.
- Coronary angiography revealed spontaneous dissection of multiple coronary arteries.
- The patient underwent successful triple coronary artery bypass grafting under extracorporeal circulation.
Findings:
- The patient experienced an uneventful postoperative recovery.
- Eight months post-surgery, she remained asymptomatic with a normal lifestyle.
- This case highlights the potential for successful surgical management of postpartum SCAD.
Implications:
- Early diagnosis and surgical intervention are crucial for managing postpartum SCAD and acute myocardial infarction.
- Coronary artery bypass grafting can be an effective treatment option for complex SCAD.
- Further research into the mechanisms and long-term outcomes of postpartum SCAD is warranted.
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