• Thorac Cardiovasc Surg · Jan 2013

    Case Reports

    Postpartum acute coronary syndrome due to intramural hematoma and coronary artery dissection.

    • Ignasi Julià, Manel Tauron, and Christian Muñoz-Guijosa.
    • Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Autonoma University of Barcelona, Barcelona, Spain.
    • Thorac Cardiovasc Surg. 2013 Jan 1; 61 (1): 85-7.

    AbstractA 38-year-old woman presented with acute coronary syndrome 9 days postpartum. Coronary catheterization showed an intramural hematoma of the left main artery (LM) and the left anterior descending artery (LAD). During angiography, dissection of the LM, with involvement of the LAD and circumflex artery occurred. The patient presented unstable hemodynamic status. After resuscitation, intra-aortic balloon pump was inserted. The patient underwent two-vessel off-pump surgical revascularization. She was discharged 10 days later.Georg Thieme Verlag KG Stuttgart · New York.

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