Preeclampsia-Associated Multivessel Spontaneous Coronary Artery Dissection.
Rajeev Virender SeecheranJessica KawallDivya RamadhinValmiki Krishna SeecheranSangeeta Anjali PersadSasha Savitri LallaNaveen Anand SeecheranPublished in: Journal of investigative medicine high impact case reports (2020)
Pregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.
Keyphrases
- coronary artery
- st segment elevation myocardial infarction
- percutaneous coronary intervention
- pulmonary artery
- st elevation myocardial infarction
- pregnancy outcomes
- coronary artery disease
- coronary artery bypass grafting
- acute coronary syndrome
- blood pressure
- case report
- coronary artery bypass
- preterm birth
- early onset
- atrial fibrillation
- left ventricular
- transcatheter aortic valve replacement
- birth weight
- weight gain
- gestational age