Acute cardiac disease in the postpartum: What to think

Fabiola B. Sozzi, Marco Schiavone, Joseph F. Maalouf, Elisa Gherbesi, Massimo Zilocchi, Ciro Canetta, Federico Colombo

Research output: Contribution to journalArticlepeer-review

Abstract

A rare case of a spontaneous coronary artery dissection (SCAD) in the postpartum of a 32-year-old woman is presented. Pregnancy-related SCAD is a potentially life-threatening condition. SCAD is triggered by nonatherosclerotic disease, typically affects young-aged women and is still often underdiagnosed. Cardiac magnetic resonance is crucial to demonstrate the ischemic origin of the disease. A conservative management is generally preferred in stable SCAD as most dissected segments will heal spontaneously over a few months. Additionally, the percutaneous coronary intervention is associated with high rate of complications and procedural failure. The aim of this case was to improve awareness of SCAD and to advise clinicians seeking aid with patient management.

Original languageEnglish
Pages (from-to)2099-2102
JournalEchocardiography
Volume36
Issue number11
DOIs
Publication statusPublished - 2019

Keywords

  • microvascular obstruction
  • postpartum
  • spontaneous coronary artery dissection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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