Alsleibi Shoukri, Dweik Majed, Afifi Mohammad, Marzuqa Bisher, Nassar Hisham
Department of Internal Medicine, Ahli Cardiovascular Center, Al-Ahli Hospital, Hebron, Palestinian Authority.
Hadassah University Hospital, Jerusalem, Israel.
J Cardiol Cases. 2011 Dec 8;5(1):e23-e27. doi: 10.1016/j.jccase.2011.11.003. eCollection 2012 Feb.
Spontaneous coronary artery dissection is a rare but potentially life-threatening event associated with the peripartum period. We present a case of acute anterolateral ST elevation myocardial infarction in the postpartum period in a young woman. Thrombolytic therapy was successful, but later the patient required emergent coronary artery bypass grafting due to another acute inferolateral myocardial infarction that developed 4 h after cardiac catheterization which showed multivessel spontaneous coronary artery dissection.
自发性冠状动脉夹层是一种罕见但可能危及生命的与围产期相关的事件。我们报告一例年轻女性产后发生急性前侧壁ST段抬高型心肌梗死的病例。溶栓治疗成功,但后来患者因心脏导管检查后4小时发生的另一次急性下侧壁心肌梗死而需要紧急冠状动脉旁路移植术,该检查显示多支血管自发性冠状动脉夹层。