Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura

Coronary artery dissection is a rare cause of acute coronary syndrome. Most cases occur in women during the peripartum period, most likely influenced by hormonal changes, hemodynamic stress and modifications in the immune system during pregnancy. The pathogenesis of coronary artery dissection is unk...

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Autores principales:	Jofré S,María Lorena, GonzáLez Z,Bernardita
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Coronary artery bypass Coronary artery dissection spontaneous Postpartum period
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300016
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spelling	oai:scielo:S0034-988720140003000162014-09-02Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literaturaJofré S,María LorenaGonzáLez Z,Bernardita Coronary artery bypass Coronary artery dissection spontaneous Postpartum period Coronary artery dissection is a rare cause of acute coronary syndrome. Most cases occur in women during the peripartum period, most likely influenced by hormonal changes, hemodynamic stress and modifications in the immune system during pregnancy. The pathogenesis of coronary artery dissection is unknown, hence numerous theories have been postulated such as pregnancy-related conditions, the presence of connective tissue disorders, trauma, etc. The clinical presentation ranges from asymptomatic patients to the whole spectrum of acute coronary syndrome manifestations. The management of these patients requires a multidisciplinary approach, with two options: medical therapy or an invasive approach, with percutaneous coronary intervention or coronary artery bypass graft surgery. The choice of treatment options depends on the hemodynamic status of the patient, the extension of the dissection and the myocardial territory at risk. In this case report we present a 38-year-old female who had a coronary artery dissection seven days postpartum. Coronary catheterization showed dissection of the left main coronary artery that extended until the circumflex artery. An intra-aortic balloon pump was installed and the patient then underwent coronary artery bypass graft surgery, with satisfactory results.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.3 20142014-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300016es10.4067/S0034-98872014000300016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronary artery bypass Coronary artery dissection spontaneous Postpartum period
spellingShingle	Coronary artery bypass Coronary artery dissection spontaneous Postpartum period Jofré S,María Lorena GonzáLez Z,Bernardita Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
description	Coronary artery dissection is a rare cause of acute coronary syndrome. Most cases occur in women during the peripartum period, most likely influenced by hormonal changes, hemodynamic stress and modifications in the immune system during pregnancy. The pathogenesis of coronary artery dissection is unknown, hence numerous theories have been postulated such as pregnancy-related conditions, the presence of connective tissue disorders, trauma, etc. The clinical presentation ranges from asymptomatic patients to the whole spectrum of acute coronary syndrome manifestations. The management of these patients requires a multidisciplinary approach, with two options: medical therapy or an invasive approach, with percutaneous coronary intervention or coronary artery bypass graft surgery. The choice of treatment options depends on the hemodynamic status of the patient, the extension of the dissection and the myocardial territory at risk. In this case report we present a 38-year-old female who had a coronary artery dissection seven days postpartum. Coronary catheterization showed dissection of the left main coronary artery that extended until the circumflex artery. An intra-aortic balloon pump was installed and the patient then underwent coronary artery bypass graft surgery, with satisfactory results.
author	Jofré S,María Lorena GonzáLez Z,Bernardita
author_facet	Jofré S,María Lorena GonzáLez Z,Bernardita
author_sort	Jofré S,María Lorena
title	Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
title_short	Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
title_full	Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
title_fullStr	Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
title_full_unstemmed	Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
title_sort	disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000300016
work_keys_str_mv	AT jofresmarialorena diseccioncoronariaespontaneapostpartoreportedeuncasoclinicoyrevisiondelaliteratura AT gonzalezzbernardita diseccioncoronariaespontaneapostpartoreportedeuncasoclinicoyrevisiondelaliteratura
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Disección coronaria espontánea post parto: reporte de un caso clínico y revisión de la literatura

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