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  • Title: Spontaneous dissection of the coronary and vertebral arteries post-partum: case report and review of the literature.
    Author: Cenkowski M, daSilva M, Bordun KA, Hussain F, Kirkpatrick ID, Jassal DS.
    Journal: BMC Pregnancy Childbirth; 2012 Nov 02; 12():122. PubMed ID: 23121892.
    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.
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