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A Mother's struggle: postpartum preeclampsia complicated by triple vessel spontaneous coronary artery dissection.
Oxf Med Case Reports
October 2024
Cardiovascular Division, Department of Medicine, 1600 NW 10th Ave, University of Miami Miller School of Medicine, Miami, FL 33136, United States.
Article Synopsis
- Spontaneous coronary artery dissection (SCAD) is a significant cause of heart issues in young women, especially postpartum, and Pregnancy-Associated SCAD (P-SCAD) is a severe subtype.
- A case study highlighted a 40-year-old Haitian woman with postpartum pre-eclampsia who experienced multi-vessel SCAD, diagnosed using coronary angiography.
- The patient stayed stable without intervention but developed recurrent chest pain, treated with clopidogrel; the link between pre-eclampsia and SCAD risk needs more research.
Spontaneous avulsion of left internal mammary artery graft a complication of coronary artery bypass surgery: case report and review of the literature.
J Cardiothorac Surg
September 2024
Faculty of Medicine, Al-Quds University, Abu Dis, Palestinian Territories.
Background: Coronary artery bypass grafting (CABG) surgery is a common procedure for managing multi-vessel coronary artery disease to revascularize the myocardium. Among the various conduits used, the left internal mammary artery (LIMA) is preferred due to its better long-term patency rate. However, CABG procedures involving LIMA may result in rare but serious complications, such as avulsion of the LIMA post-CABG, which leads to disruption of blood flow to the myocardium and the development of fatal cardiac tamponade.
View Article and Find Full Text PDFInvasive Treatment of Left Main Coronary Artery Disease: From Anatomical Features to Mechanistic Differences.
Curr Cardiol Rev
October 2024
Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
There is debate on the best treatment for significant stenoses of the left main (LM) coronary artery. The available evidence is based on four randomized trials, which were either performed specifically to assess patients with LM disease (EXCEL, NOBLE, PRECOMBAT) or had a significant fraction of patients with this disease pattern (SYNTAX). A meta-analysis revealed no difference in periprocedural and 5-year mortality but demonstrated a significant reduction of spontaneous myocardial infarction (MI) with CABG.
View Article and Find Full Text PDFA Rare Multi-vessel Spontaneous Coronary Artery Dissection Case Requiring Balloon Intervention.
Cureus
February 2024
Internal Medicine, Scarborough General Hospital, Scarborough, GBR.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. This case involves a multivessel SCAD requiring intervention. The patient is a 39-year-old woman suffering from a non-ST elevation myocardial infarction caused by SCAD.
View Article and Find Full Text PDFPolyarteritis nodosa (PAN) is a heterogeneous disease characterized by constitutional symptoms, multi-organ dysfunction, and a subacute to chronic mode of onset. We describe a rarely encountered manifestation of PAN in a previously healthy 64-year-old woman who developed acute intra-abdominal bleeding due to multi-vessel, vasculitis-induced retroperitoneal aneurysmal ruptures, followed by the spontaneous cessation of abdominal pain and intra-abdominal bleeding within 24 hours after hospitalization, in the absence of immunosuppressive treatment. Aneurysms regressed and eventually normalized coincident with a moderate-term course of oral corticosteroids and six months of monthly intravenous cyclophosphamide.
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