Postpartum multivessel coronary dissection

P. J. Mather, C. L. Hansen, B. Goldman, S. Inniss, I. Pina, R. Norris, V. Jeevanandam, A. A. Bove

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

A 29-year-old woman had an acute myocardial infarction 5 days after giving birth. Serial coronary angiography showed multiple progressive coronary artery dissections, which eventually involved both the right and left coronary trees. Persistent cardiogenic shock necessitated emergent orthotopic heart transplantation. Examination of the cardiectomy specimen confirmed the presence of multiple myocardial infarctions, coronary artery dissection, and fibromuscular dysplasia of the coronary arteries. Fibromuscular dysplasia combined with changes in the arterial ground substance and hormonal milieu attributable to pregnancy or parturition are proposed as possible causes of coronary artery dissection in this case.

Original languageEnglish (US)
Pages (from-to)533-537
Number of pages5
JournalJournal of Heart and Lung Transplantation
Volume13
Issue number3
StatePublished - Jan 1 1994

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

Cite this

Mather, P. J., Hansen, C. L., Goldman, B., Inniss, S., Pina, I., Norris, R., Jeevanandam, V., & Bove, A. A. (1994). Postpartum multivessel coronary dissection. Journal of Heart and Lung Transplantation, 13(3), 533-537.