Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/1048708 |
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| author | Kathleen E. Knapp Ricardo A. Weis Efrain I. Cubillo Alyssa B. Chapital Harish Ramakrishna |
| author_facet | Kathleen E. Knapp Ricardo A. Weis Efrain I. Cubillo Alyssa B. Chapital Harish Ramakrishna |
| author_sort | Kathleen E. Knapp |
| collection | DOAJ |
| description | Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD. |
| format | Article |
| id | doaj-art-d322c9c05a8549e796e5f06fe8064f0b |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-d322c9c05a8549e796e5f06fe8064f0b2025-08-20T03:24:12ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/10487081048708Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old PatientKathleen E. Knapp0Ricardo A. Weis1Efrain I. Cubillo2Alyssa B. Chapital3Harish Ramakrishna4Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Critical Care Medicine, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USACoronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD.http://dx.doi.org/10.1155/2016/1048708 |
| spellingShingle | Kathleen E. Knapp Ricardo A. Weis Efrain I. Cubillo Alyssa B. Chapital Harish Ramakrishna Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient Case Reports in Cardiology |
| title | Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient |
| title_full | Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient |
| title_fullStr | Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient |
| title_full_unstemmed | Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient |
| title_short | Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient |
| title_sort | spontaneous postpartum coronary artery dissection and cardiogenic shock with extracorporeal membrane oxygenation assisted recovery in a 30 year old patient |
| url | http://dx.doi.org/10.1155/2016/1048708 |
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