Article information
Se describe un caso de disección coronaria espontánea del tronco coronario izquierdo asociado a enfermedad nativa de las arterias descendente anterior y circunfleja, en una paciente puérpera de 37 años de edad. Se expone el cuadro clínico, los hallazgos del cateterismo cardiaco, la evolución clínica y el resultado postquirúrgico, y adicionalmente, se hace una revisión de la literatura.
Palabras clave:
enfermedad coronaria
infarto agudo del miocardio
revascularización
We describe a case of spontaneous coronary dissection of left main coronary trunk associated with native coronary disease of the anterior descending and circumflex arteries, in a puerperal 37 years old patient. We describe the clinical picture, cardiac catheterization findings, clinical evolution and outcome after surgery, and in addition we make a review of the literature.
Keywords:
coronary heart disease
acute myocardial infarction
revascularization
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Bibliografía
[1.]
W.A. Almahmeed, M. Haykowski, et al.
Spontaneous coronary artery dissection in young women.
Cathet Cardiovasc Diagn, 37 (1996), pp. 201-205
[2.]
M.B. Jorgensen, V. Aharonian, et al.
Spontaneous coronary dissection: a cluster of cases with this rare finding.
Am Heart J, 127 (1994), pp. 1382-1387
[3.]
S.J. De Maio, S.H. Kinsella, et al.
Clinical course of long standing prognosis of spontaneous coronary artery dissection.
Am J Cardiol, 64 (1989), pp. 471-474
[4.]
S. Shahabi, N.A. Smith, C. Chanana, J.D. Abbott, J. Copel, J.F. Setaro.
Pregnancyassociated myocardial infarction: a report of two cases and review of the literature.
Ups J Med Sci, 113 (2008), pp. 325-330
[5.]
R.P. Martins, G. Leurent, H. Corbineau, O. Fouquet, S. Seconda, A.E. Baruteau, et al.
Coronary angiography of pregnancy-associated coronary artery dissection: a high-risk procedure.
Cardiovasc Revasc Med, 11 (2010), pp. 182-185
[6.]
S. Goland, E.R. Schwarz, R.J. Siegel, L.S. Czer.
Pregnancy-associated spontaneous coronary artery dissection.
Am J Obstet Gynecol, 197 (2007), pp. e11-e13
[7.]
D. Mark, Y. Kong, et al.
Variant angina and spontaneous coronary artery dissection.
Am J Cardiol, 56 (1985), pp. 485-486
[8.]
W.V. Lovitt, W.J. Corzine.
Dissecting intramural hemorrhage of anterior descending branch of left coronary artery.
Am Arch Pathol, 54 (1952), pp. 458-462
[9.]
J.M. Barret.
Pregnancy related rupture of arterial aneurysms.
Obstet Gynecol. Surv, 37 (1982), pp. 557-566
[10.]
P. Curiel, G. Spinelli, A. Petrella, et al.
Postpartum coronary artery dissection followed by heart transplantation.
Am J Obstet Gynecol, 163 (1990), pp. 538-539
[11.]
D.E. Scott.
Anemia in pregnancy.
Obstet Gynecol Ann, 1 (1972), pp. 219
[12.]
T. Pyorola.
Cardiovascular response to upright position during pregnancy.
Acta Obster Gynaecol Scand, 45 (1966), pp. 8
[13.]
K. Ueland, J.M. Hansen.
Maternal cardiovascular dynamics.
III. Labour and delivery under local and caudal analgesia. Am J Obstet Gynaecol, 103 (1966), pp. 8
[14.]
K. Ueland, J.M. Hansen.
Maternal cardiovascular dynamics.
II. Posture and uterine contractions. Am J Obstet Gynaecol, 103 (1969), pp. 1
[15.]
C.M. Asuncion, J. Hyun.
Dissecting intramural hematoma of the coronary artery in pregnancy and the puerperium.
Obstet Gynecol, 40 (1972), pp. 202-210
[16.]
G.P. Dowling, L. Maximillian Buja.
Spontaneous coronary artery dissection occurs with and without periadventitial inflammation.
Arch Pathol Lab Med, 111 (1987), pp. 470-472
[17.]
M. Rabinowitz, R. Virmani, H.A. Mcalliister Jr..
Spontaneous coronary artery dissection and eosinophilic inflammation: a cause effect relationship.
Am J Med, 72 (1982), pp. 923-928
[18.]
S.J. Palomino.
Dissecting intramural hematoma of the left coronary artery in the puerperium: a case report and survey of literature.
Am J Clin Pathol, 51 (1968), pp. 119-125
[19.]
B. Bulkley, W. Roberts.
Isolated coronary arterial dissection.
J Thoracic Cardiovasc Surg, 67 (1978), pp. 148-151
[20.]
A. Koul, G. Hollander.
Coronary artery dissection during pregnancy and the postpartum period: two cases review and review of literature. Cath and Cardiovasc Interv.
, 52 (2001), pp. 88-94
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