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Spontaneous left coronary artery dissection in the postpartum period: a case report

https://doi.org/10.15829/1560-4071-2022-5059

Abstract

Spontaneous coronary artery dissection is a rare disease that threatens the patient life. Often this pathology complicates the course of pregnancy or the postpartum period. The rare occurrence and difficulties in diagnosis are the reason for the lack of data and the impossibility of developing a single algorithm for diagnosing and treating spontaneous coronary artery dissection.

The article provides a brief literature review and a case report of spontaneous coronary artery dissection in the postpartum period, and discusses a number of aspects of treatment tactics.

About the Authors

A. A. Kuznetsov
Kuban State Medical University
Russian Federation

Krasnodar


Competing Interests:

none



A. M. Namitokov
Kuban State Medical University; Research Institute of the Ochapovsky Regional Clinical Hospital № 1
Russian Federation

Krasnodar


Competing Interests:

none



A. V. Sazhneva
Research Institute of the Ochapovsky Regional Clinical Hospital № 1
Russian Federation

Krasnodar


Competing Interests:

none



A. S. Nekrasov
Research Institute of the Ochapovsky Regional Clinical Hospital № 1
Russian Federation

Krasnodar


Competing Interests:

none



E. D. Kosmacheva
Kuban State Medical University; Research Institute of the Ochapovsky Regional Clinical Hospital № 1
Russian Federation

Krasnodar


Competing Interests:

none



References

1. Pretty H. Dissecting aneurysm of coronary artery in a woman aged 42. BMJ. 1931;1:667. doi:10.1136/bmj.1.3667.667.

2. Yip A, Saw J. Spontaneous coronary artery dissection — A review. Cardiovasc Diagn Ther. 2015;5(1):37-48. doi:10.3978/j.issn.2223-3652.2015.01.08.

3. Krittanawong C, Saw J, Olin JW. Updates in Spontaneous Coronary Artery Dissection. Curr Cardiol Rep. 2020;22:123. doi:10.1007/s11886-020-01378-y.

4. Hayes SN, Kim ESH, Saw J, et al.; on behalf of the American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Functional Genomics and Translational Biology; and Stroke Council. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018;137:e523-e557. doi:10.1161/CIR.0000000000000564.

5. Havakuk O, Goland S, Mehra A, et al. Pregnancy and the Risk of Spontaneous Coronary Artery Dissection: An Analysis of 120 Contemporary Cases. Circ Cardiovasc Interv. 2017;10(3):e004941. doi:10.1161/CIRCINTERVENTIONS.117.004941.

6. Pregnancy associated spontaneous coronary artery dissection: results of multicenter "virtual" register of spontaneous coronary artery dissection. Evidence-based Cardiology. 2017;10(3):17-22. (In Russ.)

7. Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2014;84(7):1115-22. doi:10.1002/ccd.25293.

8. Cade JR, Szarf G, de Siqueira ME, et al. Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients. Eur Heart J Cardiovasc Imaging. 2017;18(1):54-61. doi:10.1093/ehjci/jew021.

9. Sibirtsev AA, Malen’kiy AO, Shamitov YuP, et al. A clinical case of spontaneous coronary artery dissection. Cheboksary: Chuvashskiy gosudarstvenniy meditsinskiiy universitet imeni I.N. Ul’yanova, 2018, p. 98-102. (In Russ.) ISBN: 978-5-7677-2674-5.

10. Vatunin NT, Taradin GG, Bort DV, et al. A case of spontaneous coronary artery dissection (review and case report). The Russian Archives of Internal Medicine. 2019;9(1):23-30. (In Russ.) doi:10.20514/2226-6704-2019-9-1-23-30.

11. Bockeria LA, Golukhova EZ, Petrosyan KV, et al. Spontaneous coronary dissection: case reports and literature review. Creative Cardiology. 2020;14(1):71-81. (In Russ.) doi:10.24022/1997-3187-2020-14-1-71-81.

12. Alquran L, Patel A, Safi L, et al. A rare case of multivessel SCAD successfully treated with conservative medical management. Case Rep Cardiol. 2020;2020:8468730. doi:10.1155/2020/8468730.

13. Regragui H, Boussaadani BE, Sasbou L, et al. Conservative management of spontaneous coronary artery dissection: a case report. Pan Afr Med J. 2020;36:334. doi:10.11604/pamj.2020.36.334.25546.


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For citations:


Kuznetsov A.A., Namitokov A.M., Sazhneva A.V., Nekrasov A.S., Kosmacheva E.D. Spontaneous left coronary artery dissection in the postpartum period: a case report. Russian Journal of Cardiology. 2022;27(3S):5059. (In Russ.) https://doi.org/10.15829/1560-4071-2022-5059

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)