The authors report a case of early peripartum myocardial infarction resulting from spontaneous dissection of the left anterior descending coronary artery and right coronary artery in a twenty-four-year-old woman. This is the first report of double-vessel coronary dissection involving both the left and right coronary arteries diagnosed antemortem and successfully treated.
Benson PA: Dissecting aneurysms of the right and left coronary arteries. J Forensic Sci15:65, 1970.
7.
Pretty HC: Dissecting aneurysm of coronary artery in a woman aged 42: Rupture. Br Med J1:667, 1931.
8.
Vicari R., Eybel C., Monson D.: Survival following spontaneous coronary artery dissection: Surgical repair by extrusion of intramural hematomaAm Heart J111:593-594, 1986.
9.
Matheiu D., Larde D., Vasile N.: Primary dissecting aneurysms of the coronary arteries: Case report and literature review. Cardiovasc Intervent Radiol7:71-74, 1984.
10.
Giudici MC, Artis AK, Webel RR, et al: Postpartum myocardial infarction treated with percutaneous transluminal coronary angioplastyAm Heart J118:614-616, 1989.
11.
Smith JC: Dissecting aneurysm of coronary arteries. Arch Pathol99:117-121, 1975.
12.
Menalo-Estrella P., Barker AE: Histopathologic findings in human aortic media associated with pregnancy. Arch Pathol83:336-341, 1967.
13.
Bonnet J., Aumailley M., Thomas D., et al: Spontaneous coronary artery dissection: Case report and evidence for a defect in collagen metabolism. Eur Heart J7:904-909, 1986.
14.
Ganong WF: Central regulation of visceral function. In: Review of Medical Physiology, 14th edition, Appleton and Lange, Norwalk, CT, 1989, p 204.
15.
Meyers FH, Jawetz E., Goldfien A.: Hypothalamic and pituitary hormones. In: Review of Medical Pharmacology, Lange, Los Altos, CA, 1978, p 436.
16.
Claudon D., Claudon D., Edwards J.: Primary dissecting aneurysm of coronary artery. Circulation45:259-266, 1972.
17.
Bruschke Avg , Bruyneel Kff, Block A., et al: Acute myocardial infarction without obstructive coronary artery disease demonstrated by selective cinearteriography . Br Heart J33:585-594, 1971.
18.
Duke M.: Pregnancy, myocardial infarction and normal coronary arteries: A case study and long-term follow-up. Conn Med46:626-628, 1982.
19.
Cohen WR, Steinman T., Patsner B., et al: Acute myocardial infarction in a pregnant woman at term. JAMA250:2179-2181, 1983.