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Acute cardiac disease in the postpartum: What to think
Author(s) -
Sozzi Fabiola B.,
Schiavone Marco,
Maalouf Joseph F.,
Gherbesi Elisa,
Zilocchi Massimo,
Canetta Ciro,
Colombo Federico
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14524
Subject(s) - scad , medicine , disease , pregnancy , percutaneous coronary intervention , coronary artery disease , intervention (counseling) , dissection (medical) , postpartum period , intensive care medicine , conservative management , cardiology , surgery , myocardial infarction , nursing , biology , genetics
A rare case of a spontaneous coronary artery dissection (SCAD) in the postpartum of a 32‐year‐old woman is presented. Pregnancy‐related SCAD is a potentially life‐threatening condition. SCAD is triggered by nonatherosclerotic disease, typically affects young‐aged women and is still often underdiagnosed. Cardiac magnetic resonance is crucial to demonstrate the ischemic origin of the disease. A conservative management is generally preferred in stable SCAD as most dissected segments will heal spontaneously over a few months. Additionally, the percutaneous coronary intervention is associated with high rate of complications and procedural failure. The aim of this case was to improve awareness of SCAD and to advise clinicians seeking aid with patient management.