Satoda Masahiko, Takagi Kensuke, Uesugi Michitaka, Morishima Itsuro, Mukawa Hiroaki, Tsuboi Hideyuki, Sone Takahito
Cardiac Catheterization Laboratories, Ogaki Municipal Hospital, Ogaki, Japan.
Nat Clin Pract Cardiovasc Med. 2007 Dec;4(12):688-92. doi: 10.1038/ncpcardio1055.
A 34-year-old postpartum woman presented at hospital with chest pain. She had experienced an uneventful delivery of a healthy infant and had no known coronary risk factors. Electrocardiography demonstrated an acute myocardial infarction, which resolved on intravenous glyceryl trinitrate infusion. Coronary angiography revealed diffuse narrowing of the left anterior descending artery and tapering of the left main trunk, but there were no obvious hallmarks of intimal dissection.
Electrocardiography, coronary angiography, multidetector CT and intravascular ultrasonography.
Postpartum coronary artery dissection.
The lesion was stabilized with orally administered amlodipine, aspirin, ticlopidine and pitavastatin, along with intravenous heparin and glyceryl trinitrate. The patient was later discharged on bisoprolol, aspirin, pitavastatin and temocapril.
一名34岁的产后女性因胸痛入院。她顺利产下一名健康婴儿，且无已知的冠状动脉危险因素。心电图显示急性心肌梗死，静脉输注硝酸甘油后症状缓解。冠状动脉造影显示左前降支弥漫性狭窄及左主干逐渐变细，但无内膜撕裂的明显特征。
心电图、冠状动脉造影、多排CT及血管内超声检查。
产后冠状动脉夹层。
口服氨氯地平、阿司匹林、噻氯匹定和匹伐他汀，同时静脉注射肝素和硝酸甘油，使病变稳定。患者随后出院，服用比索洛尔、阿司匹林、匹伐他汀和替莫普利。
