Acute Dissection of Epicardial Coronary Arteries Shortly Following Full Term Delivery Resulting in Acute Myocardial Infarction and Leading to Orthotopic Heart Transplantation

Am J Cardiol. 2022 Dec 15:185:129-131. doi: 10.1016/j.amjcard.2022.06.065. Epub 2022 Oct 11.

Abstract

Described herein is a 28-year-old woman who developed acute dissection of the left main, left anterior descending, and left circumflex coronary arteries shortly after delivering a full-term normal infant. The consequence was acute myocardial infarction leading to a severely depressed left ventricular ejection fraction (<10%) and resulting in life-saving orthotopic heart transplantation procedure not previously reported in patients with spontaneous isolated coronary dissection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Female
  • Heart Transplantation*
  • Humans
  • Myocardial Infarction*
  • Stroke Volume
  • Ventricular Function, Left