Spontaneous coronary artery dissection during hemodialysis in the post-abortion period

Int J Cardiol. 2008 Jul 4;127(2):e45-7. doi: 10.1016/j.ijcard.2007.01.105. Epub 2007 Apr 30.

Abstract

Spontaneous coronary dissection (SCAD) is an unusual cause of acute myocardial infarction with complex pathophysiology. We present a case of acute inferior myocardial infarction resulting from spontaneous coronary artery dissection of the right coronary artery in a 33-year-old woman during the hemodialysis due to a recent abortion and consequent curettage at first trimester of her pregnancy. This report describes a previously healthy woman without traditional cardiovascular risk factors who presented with an acute inferior myocardial infarction. Spontaneous coronary artery dissection (SCAD) should be considered as a cause of the acute myocardial infarction in young patients without traditional risk factors for coronary artery disease, in females in the both peri-partum and post-abortion period.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Acute Kidney Injury / complications
  • Acute Kidney Injury / therapy
  • Adult
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / etiology*
  • Coronary Angiography
  • Electrocardiography
  • Female
  • Humans
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / etiology*
  • Puerperal Disorders / diagnosis
  • Puerperal Disorders / etiology*
  • Renal Dialysis / adverse effects*