产后自发性冠状动脉夹层伴心室颤动。
Postpartum spontaneous coronary dissection presenting with ventricular fibrillation.
作者信息
Addison Daniel, Brammer Jonathan, Gupta Swapna, Lakkis Nasser
机构信息
Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Ben Taub General Hospital, Baylor College of Medicine, Houston, TX, USA.
出版信息
J Cardiol Cases. 2010 Dec 21;3(1):e17-e21. doi: 10.1016/j.jccase.2010.11.002. eCollection 2011 Feb.
BACKGROUND
Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes; and one quarter of these patients present during the post-partum period. Furthermore, ventricular fibrillation is a rare presentation of this disease entity.
CASE
A 32-year-old woman presented 3 days post Cesarean-section delivery with chest pain, ischemic electrocardiogram changes, and ventricular fibrillation arrest. The patient was taken for cardiac catheterization and found to have a left anterior coronary artery dissection necessitating 6 stents to restore flow to the vessel.
CONCLUSION
We report the first case of survival after ventricular fibrillation arrest of a woman presenting with spontaneous coronary dissection in the post-partum period. Our case underscores the importance of recognizing ventricular fibrillation as a first presenting sign of spontaneous coronary artery dissection in the post-partum period.
背景
自发性冠状动脉夹层是急性冠状动脉综合征的罕见病因；其中四分之一的患者在产后出现。此外，心室颤动是这种疾病实体的罕见表现。
病例
一名32岁女性在剖宫产术后3天出现胸痛、缺血性心电图改变及心室颤动骤停。该患者接受了心脏导管插入术，发现左前冠状动脉夹层，需要6个支架来恢复血管血流。
结论
我们报告了首例产后出现自发性冠状动脉夹层的女性心室颤动骤停后存活的病例。我们的病例强调了在产后将心室颤动识别为自发性冠状动脉夹层的首发症状的重要性。
Zotero 插件