妊娠相关冠状动脉夹层的冠状动脉造影：一项高风险操作。

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

作者信息

Martins Raphaël Pedro, Leurent Guillaume, Corbineau Hervé, Fouquet Olivier, Seconda Sébastien, Baruteau Alban E, Moreau Olivier, Le Breton Hervé, Bedossa Marc

机构信息

CHU Rennes, Service de Cardiologie et Maladies Vasculaires, Rennes, F-35000, France.

出版信息

Cardiovasc Revasc Med. 2010 Jul-Sep;11(3):182-5. doi: 10.1016/j.carrev.2009.03.002.

DOI:10.1016/j.carrev.2009.03.002

PMID:20599172

Abstract

Spontaneous 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.

摘要

自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征的一种罕见病因，主要发生在无任何心血管危险因素的年轻女性中，尤其是在围产期和产后早期。在此，我们报告一例28岁孕妇，经检查发现其左前降支动脉（LAD）存在孤立性远端SCAD。冠状动脉造影术出现了广泛的LAD和回旋支动脉夹层并发症，需要紧急进行冠状动脉旁路移植术并植入心室辅助装置，这凸显了孕妇冠状动脉的极度脆弱性。