Abstract
Background: Spontaneous coronary artery dissection is a rare cause of acute coronary syndromes; and one quarter of these patients present during the post-partum period. Furthermore, ventricular fibrillation is a rare presentation of this disease entity. Case: A 32-year-old woman presented 3 days post Cesarean-section delivery with chest pain, ischemic electrocardiogram changes, and ventricular fibrillation arrest. The patient was taken for cardiac catheterization and found to have a left anterior coronary artery dissection necessitating 6 stents to restore flow to the vessel. Conclusion: We report the first case of survival after ventricular fibrillation arrest of a woman presenting with spontaneous coronary dissection in the post-partum period. Our case underscores the importance of recognizing ventricular fibrillation as a first presenting sign of spontaneous coronary artery dissection in the post-partum period.
Original language | English (US) |
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Pages (from-to) | e17-e21 |
Journal | Journal of Cardiology Cases |
Volume | 3 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2011 |
Keywords
- Arrest
- Coronary
- Dissection
- Postpartum
- Survival
- V-fib
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine