Preeclampsia-Associated Multivessel Spontaneous Coronary Artery Dissection

Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, adva...

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Detalles Bibliográficos
Autores principales: Seecheran, Rajeev Virender, Kawall, Jessica, Ramadhin, Divya, Seecheran, Valmiki Krishna, Persad, Sangeeta Anjali, Lalla, Sasha Savitri, Seecheran, Naveen Anand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6740047/
https://www.ncbi.nlm.nih.gov/pubmed/31509019
http://dx.doi.org/10.1177/2324709619874624
Descripción
Sumario:Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.

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