alexa Pregnancy-Related Spontaneous Coronary Artery Dissection
Bioinformatics & Systems Biology

Bioinformatics & Systems Biology

Journal of Health & Medical Informatics

Author(s): Ram Vijayaraghavan, Jacqueline Saw, Nandini Gupta, Subodh Verma

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Case 1: A 34-year-old gravida 2, para 2 woman was admitted with anterior ST-segment–elevation myocardial infarction 10 days postpartum. Coronary angiography showed left main (LM) dissection with occlusion of the proximal left anterior descending (LAD) artery (Figure 1A), and her ejection fraction was 35%. Bare metal stents were successfully implanted from the LM into the proximal LAD and diagonal arteries. Antegrade extension of dissection into the circumflex was left untreated because her ischemia resolved. However, repeat angiography at 5 months with optical coherence tomography showed in-stent restenosis in the LM, stent-strut malapposition in the proximal LAD (Figure 1B), and residual circumflex dissection, prompting subsequent coronary artery bypass grafting (CABG).

This article was published in Circulation and referenced in Journal of Health & Medical Informatics

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