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Case report: spontaneous coronary artery dissection during elective caesarean section under spinal anaesthesia
Author(s) -
Newell C. P.,
Seller C.,
Vizhi M.,
Turner N.
Publication year - 2011
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2011.06697.x
Subject(s) - medicine , artery dissection , spinal anesthesia , elective caesarean section , dissection (medical) , myocardial infarction , caesarean section , anesthesia , artery , general anaesthesia , cardiology , surgery , pregnancy , coronary angiography , biology , genetics
Summary A 37‐year‐old woman, otherwise healthy, had an acute myocardial infarction associated with acute left ventricular failure during an elective caesarean section under spinal anaesthesia. Emergency coronary catheterisation postoperatively revealed a probable dissection distally in the D1 branch of the left anterior descending artery. We review the recent literature and case reports on spontaneous coronary artery dissection, and discuss its recommended management.