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Spontaneous Coronary Artery Dissection in the Postoperative Period: A Case Report

Valentina Bendinelli1, Pascal Lefebvre, Anne Daper

  • 1From the University Hospital Center of Charleroi, Lodelinsart, Belgium.

A&A Practice
|March 26, 2019
PubMed

Spontaneous coronary artery disease is an uncommon and likely underdiagnosed cause of sudden cardiac death affecting typically young and middle-aged women. We report a case of spontaneous coronary artery disease in the postoperative period in a female patient who developed an acute coronary event after gynecologic surgery. The patient was clinically asymptomatic except for mild hemodynamic instability and ST-segment-elevation myocardial infarction seen on electrocardiogram. Spontaneous coronary artery disease was diagnosed with coronary angiography, and a pharmacological therapy was instituted with favorable results.

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