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Open Access Case report

Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature

Marta Cenkowski1, Megan daSilva2, Kimberly-Ann Bordun2, Farrukh Hussain3, Iain DC Kirkpatrick4 and Davinder S Jassal2345*

Author Affiliations

1 Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada

2 Institute of Cardiovascular Sciences, St. Boniface General Hospital, University of Manitoba, Winnipeg, Manitoba, Canada

3 Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

4 Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada

5 Cardiology, Radiology and Physiology Rm Y3531, Bergen Cardiac Care Centre Section of Cardiology, Department of Internal Medicine Faculty of Medicine, University of Manitoba St. Boniface General Hospital, 409 Taché Avenue, Winnipeg, Manitoba, R2H 2A6, Canada

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BMC Pregnancy and Childbirth 2012, 12:122  doi:10.1186/1471-2393-12-122

Published: 2 November 2012

Abstract

Background

Spontaneous coronary and vertebral artery dissections are rare events occurring most commonly in otherwise healthy women during pregnancy or the post-partum period.

Case presentation

This report describes a 35-year-old female who presented with an acute inferior ST elevation myocardial infarction 7 months post-partum secondary to spontaneous dissection of the left obtuse marginal coronary artery. Despite appropriate medical therapy with dual anti-platelet therapy, the patient presented four weeks later with a spontaneous dissection of the right vertebral artery.

Conclusion

We review the presentation, diagnosis, and management of spontaneous dissections of the vasculature in the peri-partum period.

Keywords:
Spontaneous dissection; Vasculature; Pregnancy; Imaging