[自发性产后冠状动脉夹层]

[Spontaneous postpartum coronary dissection].

作者信息

Alcalá López J, Romero Hinojosa J A, González-Gay J M, Díaz Fernández J F, Melgares Moreno R, Ramírez Hernández J A, Azpitarte Almagro J

机构信息

Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada.

出版信息

Rev Esp Cardiol. 1998 Oct;51(10):844-6. doi: 10.1016/s0300-8932(98)74829-8.

DOI:10.1016/s0300-8932(98)74829-8

PMID:9834635

Abstract

We report a case of spontaneous dissection of right coronary artery diagnosed in a 31-year-old woman in the postpartum period, presenting with prolonged angina and ST segment elevation in the ECG, a rare manifestation of this extremely uncommon anatomico-clinic entity. We described the clinical presentation, the findings derived from transthoracic echocardiography and coronary arteriography, and the clinical course with medical therapy.

摘要

我们报告了一例产后31岁女性诊断为右冠状动脉自发性夹层的病例，该患者表现为持续性心绞痛且心电图ST段抬高，这是这种极为罕见的解剖 - 临床实体的一种罕见表现。我们描述了临床表现、经胸超声心动图和冠状动脉造影的检查结果以及药物治疗的临床过程。