Postpartum Chest Pain: What's the Cause?

Ronald H Wharton, MD

Disclosures

May 23, 2014

Explanation:

This patient has the rare but well-described presentation of postpartum coronary artery dissection. She was taken to the cardiac catheterization lab, where a left main coronary dissection was found, with protrusion of the false lumen into the true lumen, resulting in a 60% left main coronary artery stenosis with an intramural hematoma, which extended into the left anterior descending artery (LAD), resulting in a 95% occlusion of the mid-LAD. You can review two of the presentation echocardiography films below

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She was referred for emergency bypass surgery; the next two echo films are postoperative. 

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