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    Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: A case report and literature review

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    Author
    Shahzad, Khurram; Cao, Long; Ain, Quara Tul; Waddy, Jennifer; Khan, Nawazish; Nekkanti, Rajasekhar
    Abstract
    Spontaneous coronary artery dissection is a rare but important cause of acute coronary syndrome. It can cause unstable angina, acute myocardial infarction, and sudden death. The condition commonly affects young females with about one-third of the cases occurring during pregnancy and the peripartum period. The diagnosis may occasionally be overlooked as the patients are often young and have no risk factors for coronary artery disease. Here we report the case of a 29-year-old African American woman who presented with acute coronary syndrome due to spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery at three weeks post-partum and recovered requiring only medical management, possibly by longitudinal distribution of the intramural hematoma leading to good distal flow. Spontaneous coronary artery dissection should be suspected in all young multiparous females presenting with chest pain in the peripartum period even in the absence of risk factors. Urgent diagnosis by angiography is required. It is recommended that treatment should be tailored to meet individual circumstances. Patients who present with single-vessel disease and hemodynamic stability, and who receive medical treatment with anticoagulation, nitrates and a beta-blocker, should experience good results.
    URI
    http://hdl.handle.net/10342/7717
    Date
    2013-03-19
    Citation:
    APA:
    Shahzad, Khurram, & Cao, Long, & Ain, Quara Tul, & Waddy, Jennifer, & Khan, Nawazish, & Nekkanti, Rajasekhar. (March 2013). Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: A case report and literature review. Journal of Medical Case Reports, (7:1), p.1-4. Retrieved from http://hdl.handle.net/10342/7717

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Shahzad, Khurram, and Cao, Long, and Ain, Quara Tul, and Waddy, Jennifer, and Khan, Nawazish, and Nekkanti, Rajasekhar. "Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: A case report and literature review". Journal of Medical Case Reports. 7:1. (1-4.), March 2013. April 20, 2021. http://hdl.handle.net/10342/7717.
    Chicago:
    Shahzad, Khurram and Cao, Long and Ain, Quara Tul and Waddy, Jennifer and Khan, Nawazish and Nekkanti, Rajasekhar, "Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: A case report and literature review," Journal of Medical Case Reports 7, no. 1 (March 2013), http://hdl.handle.net/10342/7717 (accessed April 20, 2021).
    AMA:
    Shahzad, Khurram, Cao, Long, Ain, Quara Tul, Waddy, Jennifer, Khan, Nawazish, Nekkanti, Rajasekhar. Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome: A case report and literature review. Journal of Medical Case Reports. March 2013; 7(1) 1-4. http://hdl.handle.net/10342/7717. Accessed April 20, 2021.
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