Spontaneous Coronary Artery Dissection in the Postoperative Period: A Case Report. Issue 3 (1st August 2019)

• Record Type: Journal Article
• Authors: Bendinelli, Valentina; Lefebvre, Pascal; Daper, Anne
• Is Part Of: A & A practice. Volume 13:Issue 3(2019)
• Publication Date: 2019-08-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001003
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Spontaneous coronary artery disease is an uncommon and likely underdiagnosed cause of sudden cardiac death affecting typically young and middle-aged women. We report a case of spontaneous coronary artery disease in the postoperative period in a female patient who developed an acute coronary event after gynecologic surgery. The patient was clinically asymptomatic except for mild hemodynamic instability and ST-segment–elevation myocardial infarction seen on electrocardiogram. Spontaneous coronary artery disease was diagnosed with coronary angiography, and a pharmacological therapy was instituted with favorable results.