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BMC Pregnancy Childbirth. 2012 Nov 2;12:122. doi: 10.1186/1471-2393-12-122.

Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature.

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1
Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada.

Abstract

BACKGROUND:

Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.

CASE PRESENTATION:

This report describes a 35-year-old female who presented with an acute inferior ST elevation myocardial infarction 7 months post-partum secondary to spontaneous dissection of the left obtuse marginal coronary artery. Despite appropriate medical therapy with dual anti-platelet therapy, the patient presented four weeks later with a spontaneous dissection of the right vertebral artery.

CONCLUSION:

We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.

PMID:
23121892
PMCID:
PMC3495043
DOI:
10.1186/1471-2393-12-122
[Indexed for MEDLINE]
Free PMC Article
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