TY - JOUR
T1 - Spontaneous left main coronary artery dissection complicated by pseudoaneurysm formation in pregnancy
T2 - Role of CT coronary angiography
AU - Rahman, Shahid
AU - Abdul-Waheed, Mohammed
AU - Helmy, Tarek
AU - Huffman, Lynn C.
AU - Koshal, Vipin
AU - Guitron, Julian
AU - Merrill, Walter H.
AU - Lewis, David F.
AU - Dunlap, Stephanie
AU - Shizukuda, Yukitaka
AU - Weintraub, Nealw F.
AU - Meyer, Christopher
AU - Ciligiroglu, Mehmet
N1 - Funding Information:
Dr. Weintraub is supported by HL-076684 and HL-62984 from the National Institutes of Health.
PY - 2009/4/1
Y1 - 2009/4/1
N2 - We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially managed conservatively by a multidisciplinary team including heart failure specialists, obstetricians, and cardiovascular surgeons. 4 days after admission, her LMC was imaged by dual-source 64 slice Cardiac computed tomography, coronary dissection was identified extending to the lumen, and the presence of pseudoaneurysm was confirmed. She underwent subsequently a staged procedure, which included placement of an intra-aortic balloon pump, cesarean section, and coronary artery bypass grafting. This case illustrates the utility of coronary artery CT imaging to assess the complexity and stability of coronary artery dissections, thereby helping to determine the need for, and timing of revascularization procedures.
AB - We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially managed conservatively by a multidisciplinary team including heart failure specialists, obstetricians, and cardiovascular surgeons. 4 days after admission, her LMC was imaged by dual-source 64 slice Cardiac computed tomography, coronary dissection was identified extending to the lumen, and the presence of pseudoaneurysm was confirmed. She underwent subsequently a staged procedure, which included placement of an intra-aortic balloon pump, cesarean section, and coronary artery bypass grafting. This case illustrates the utility of coronary artery CT imaging to assess the complexity and stability of coronary artery dissections, thereby helping to determine the need for, and timing of revascularization procedures.
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U2 - 10.1186/1749-8090-4-15
DO - 10.1186/1749-8090-4-15
M3 - Article
C2 - 19338659
AN - SCOPUS:65349110867
SN - 1749-8090
VL - 4
JO - Journal of Cardiothoracic Surgery
JF - Journal of Cardiothoracic Surgery
M1 - 15
ER -