spontaneous dissection of the coronary and vertebral arteries post-partum case report and review of the literature自发的冠状动脉和椎动脉的解剖产后病例报告和文献回顾.pdfVIP

Cenkowski et al. BMC Pregnancy and Childbirth 2012, 12:122 /1471-2393/12/122 CASE REPORT Open Access Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature 1 2 2 3 4 Marta Cenkowski , Megan daSilva , Kimberly-Ann Bordun , Farrukh Hussain , Iain DC Kirkpatrick and Davinder S Jassal2,3,4,5* 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. Keywords: Spontaneous dissection, Vasculature, Pregnancy, Imaging Background the left second obtuse marginal (OM2) coronary artery, Spontaneous coronary and vertebral artery dissections with no percutaneous options for repair (Figure 1A). are rare events occurring most commonly in otherwise During the patient’s admission to CCU, the cardiac en- healthy women during pregnancy or the post-partum zyme levels including creatine kinase and high sensitivity period.