Coronary angiography of pregnancy-associated coronary artery dissection: a high-risk procedure

Cardiovasc Revasc Med. 2010 Jul-Sep;11(3):182-5. doi: 10.1016/j.carrev.2009.03.002.

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome occurring predominantly in young women without any cardiovascular risk factors, especially during the peripartum and early postpartum period. Here, we report a case of a 28-year-old pregnant woman who was found to have an isolated distal SCAD of the left anterior descending artery (LAD). Coronary angiography was complicated by extensive LAD and circumflex arteries dissection, requiring an emergency coronary artery bypass grafting associated with ventricular assist device implantation and underlying the extreme fragility of coronary arteries in pregnant women.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary / methods
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Aortic Dissection / therapy
  • Cardiac Catheterization / methods
  • Cesarean Section
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / surgery*
  • Coronary Aneurysm / therapy
  • Coronary Angiography / methods
  • Coronary Artery Bypass / methods*
  • Echocardiography, Doppler / methods
  • Electrocardiography / methods
  • Emergency Treatment
  • Female
  • Follow-Up Studies
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnostic imaging
  • Pregnancy Complications, Cardiovascular / surgery*
  • Pregnancy Complications, Cardiovascular / therapy
  • Pregnancy Outcome*
  • Pregnancy Trimester, Third
  • Risk Assessment
  • Treatment Failure