Title |
Postpartum spontaneous coronary, vertebral, and mesenteric artery dissections: a case report
|
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Published in |
Journal of Medical Case Reports, June 2016
|
DOI | 10.1186/s13256-016-0937-0 |
Pubmed ID | |
Authors |
Sean Spence, Maneesh Sud, Ravi Bajaj, Anna Zavodni, Sharron Sandhu, Mina Madan |
Abstract |
Spontaneous coronary artery dissection is a rare cause of myocardial infarction that must always be considered on a clinician's differential diagnosis, particularly in patients <50-years old with a paucity of typical vascular risk factors. We describe a case of a 33-year-old white woman, 3 weeks postpartum, presenting with retrosternal chest and back pain, neck pain and stiffness, and intermittent headaches. Subsequent workup revealed concurrent spontaneous dissections in three separate medium-sized arterial beds. She was successfully managed in a conservative fashion, highlighting that percutaneous or surgical revascularization can often be foregone in favor of conservative medical therapy. |
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