• Cardiovasc Revasc Med · Jul 2010

    Case Reports

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

    • Raphaël Pedro Martins, Guillaume Leurent, Hervé Corbineau, Olivier Fouquet, Sébastien Seconda, Alban E Baruteau, Olivier Moreau, Hervé Le Breton, and Marc Bedossa.
    • CHU Rennes, Service de Cardiologie et Maladies Vasculaires, Rennes, F-35000, France. raphael-martins@voila.fr <raphael-martins@voila.fr>
    • Cardiovasc Revasc Med. 2010 Jul 1;11(3):182-5.

    AbstractSpontaneous 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.

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