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J Extra Corpor Technol. 2008 Jun;40(2):127-9.

Off-pump coronary artery bypass grafting for spontaneous coronary dissection in a 26-year-old patient two weeks post-partum: a case report and review.

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1
Department of Surgery, Memorial Hermann Baptist Hospital, Southeast Texas Cardiology Associated Cardiovascular and Thoracic Surgeons, Beaumont, Texas, USA. patelpump@sbcglobal.net

Abstract

Spontaneous coronary artery dissections are an infrequent cause of myocardial infarction and have been reported in late stages of pregnancy and in the puerperium phase. We report a case of a 26-year-old post-partum woman who was diagnosed with a spiral coronary dissection of the left anterior descending artery, with a compromised diagonal branch. She underwent an emergent surgical revascularization without the use of cardiopulmonary bypass. The patient's in-hospital clinical course, prognosis, treatment, and potential etiologies are discussed.

PMID:
18705549
PMCID:
PMC4680634
[Indexed for MEDLINE]
Free PMC Article
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