Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient

Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient

Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes...

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Main Authors: Kathleen E. Knapp, Ricardo A. Weis, Efrain I. Cubillo, Alyssa B. Chapital, Harish Ramakrishna
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/1048708
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spelling doaj-d322c9c05a8549e796e5f06fe8064f0b2020-11-24T22:54:32ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/10487081048708Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old PatientKathleen E. Knapp0Ricardo A. Weis1Efrain I. Cubillo2Alyssa B. Chapital3Harish Ramakrishna4Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Critical Care Medicine, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USADepartment of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USACoronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD.http://dx.doi.org/10.1155/2016/1048708
collection DOAJ
language English
format Article
sources DOAJ
author Kathleen E. Knapp
Ricardo A. Weis
Efrain I. Cubillo
Alyssa B. Chapital
Harish Ramakrishna
spellingShingle Kathleen E. Knapp
Ricardo A. Weis
Efrain I. Cubillo
Alyssa B. Chapital
Harish Ramakrishna
Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
Case Reports in Cardiology
author_facet Kathleen E. Knapp
Ricardo A. Weis
Efrain I. Cubillo
Alyssa B. Chapital
Harish Ramakrishna
author_sort Kathleen E. Knapp
title Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
title_short Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
title_full Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
title_fullStr Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
title_full_unstemmed Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient
title_sort spontaneous, postpartum coronary artery dissection and cardiogenic shock with extracorporeal membrane oxygenation assisted recovery in a 30-year-old patient
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2016-01-01
description Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD.
url http://dx.doi.org/10.1155/2016/1048708
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