Postpartum Spontan Kroner Arter Diseksiyonu: Ne yapmalı?

Year 2015, Volume: 18 Issue: 1, 51 - 53, 06.04.2015

Arzu Antal Dönmez Serpil Taş Özge Altaş Özgür Kocamaz Cengiz Köksal Hızır Mete Alp

Abstract

Spontan koroner arter diseksiyonu
akut koroner sendromun nadir nedenlerindendir. Bu çalışmada postpartum birinci
haftada spontan koroner arter diseksiyonu tanısıyla koroner arter baypas
operasyonu uygulanan 29 yaşında Türk bayan hasta bildirilmiştir. Bu çalışmada
postpartum spontan koroner arter diseksiyonu takip ve tedavi yaklaşımları
gözden geçirilmiştir.

Keywords

Koroner arter diseksiyonu, spontan, postpartum dönem, koroner arter baypas greftleme

Postpartum Spontaneous Coronary Artery Dissection: How to Manage?

Abstract

Spontaneous coronary artery
dissection is an infrequent cause of acute coronary syndrome. We present the
case of a 29 years old Turkish female, one week postpartum, diagnosed as
spontaneous coronary dissection who was treated successfully with coronary
artery bypass grafting. We overview the management strategies and treatment
options for postpartum spontaneous coronary artery dissection.

Keywords

Coronary artery dissection, spontaneous, postpartum period, coronary artery bypass grafting

References

• 1. Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012;126:579-88.
• 2. Satoda M, Takagi K, Uesugi M, Morishima I, Mukawa H, Tsuboi H, et al. Acute myocardial infarction caused by spontaneous postpartum coronary artery dissection. Nat Clin Pract Cardiovasc Med 2007;4:688-92.
• 3. Van den Branden BJL, Bruggeling WA, Corbeij HM, Dunselman PH. Spontaneous coronary artery dissection in the postpartum period. Neth Heart J 2008;16:412-4.
• 4. Koul AK, Hollander G, Moskovits N, Frankel R, Herrera L, Shani J. Coronary artery dissection during pregnancy and the postpartum period: Two case reports and review of literature. Catheter Cardiovasc Intervent 2001;52:88-94.
• 5. Ito H, Taylor L, Bowman M, Fry ET, Hermiller JB, Van Tassel JW. Presentation and therapy of spontaneous coronary artery dissection and comparisons of postpartum versus nonpostpartum cases. J Cardiol 2011;107:1590-6.
• 6. Schroder C, Stoler RC, Branning GB, Choi JW. Postpartum multivesel spontaneous coronary artery dissection confirmed by coronary CT angiography. Proc (Bayl Univ Med Cent) 2006;19:338-41.
• 7. Aliyary S, Mariani MA, Verhorst PM, Hartman M, Stoel MG, von Birgelen C. Staged therapeutic approach in spontaneous coronary dissection. Ann Thorac Surg 2007;83:1879-81.
• 8. Rahman S, Abdul-Waheed M, Helmy T, Huffman LC, Koshal V, Guitron J, et al. Spontaneous left main coronary artery dissection complicated by pseudoaneurysm formation in pregnancy: Role of CT coronary angiography. J Cardiothorac Surg 2009;4:15.
• 9. Juszczyk M, Marnejon T, Hoffman DA. Spontaneous coronary artery dissection postpartum. J Invasive Cardiol 2004;16:524-6.
• 10. Thistlethwaite PA, Tarazi RY, Giordano FJ, Jamieson SW. Surgical management of spontaneous left main coronary dissection. Ann Thorac Surg 1998;66:258-60.
• 11. Ooi A, Lavrsen M, Monro J, Langley SM. Successful emergency surgery on triple-vessel spontaneous coronary artery dissection. Eur J Cardiovasc Surg 2004;26:447-9.
• 12. Rogers IS, Rinaldi MJ, Humphrey CB, Boden WE, Dougherty JE. Postpartum dissection of the left main coronary artery. Clin Cardiol 2006;29:175-8.