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Published on: December 7, 2016
Clinical considerations during spontaneous coronary artery dissection in the post-partum period: a case report
Nili Schamroth Pravda1,2, Ohad Houri2,3, Ran Kornowski1,2
1Department of Cardiology, Rabin Medical Center, Beilinson Hospital, 39 Jabotinsky Street, Petach Tikva 49100, Israel.
Background:
Spontaneous coronary artery dissection (SCAD) is a common and under-recognized cause of myocardial infarction during the post-partum period.
Case Summary:
We report a case of a young women presenting with chest pain in the post-partum period. Her clinical appearance was that of a myocardial infarction, and angiography was indicative of a Type 2 SCAD. The patients had persistent chest pain, reduced left ventricular function, and critical left anterior descending artery stenosis. Percutaneous coronary intervention was done with caution. Shared decision-making with the patient helped guide the medical treatment plan and follow-up.
Discussion:
We discuss the clinical considerations surrounding the management of this patient.
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