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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1999-1-26
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pubmed:abstractText |
Acute myocardial infarction during pregnancy and in the puerperium is a rare event: the incidence ranges from 1 per 10,000 to 1 per 30,000 deliveries. Although the etiology is unknown, the pathology may involve thrombosis, spasm, or dissection of the coronary artery. We present the case of a 34-year-old white woman who presented to our institution in cardiogenic shock after an acute myocardial infarction 2 weeks postpartum. This case reinforces the concept that postpartum coronary artery dissection is a fatal disorder. We were able to successfully support the myocardium and the end-organs with a ventricular assist device. We performed concomitant coronary artery bypass grafting in an attempt to salvage the remaining myocardium. Management with emergency coronary revascularization and ventricular assist device support is described.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:issn |
0954-6928
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
457-60
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9822865-Adult,
pubmed-meshheading:9822865-Aneurysm, Dissecting,
pubmed-meshheading:9822865-Coronary Aneurysm,
pubmed-meshheading:9822865-Coronary Artery Bypass,
pubmed-meshheading:9822865-Emergencies,
pubmed-meshheading:9822865-Female,
pubmed-meshheading:9822865-Heart-Assist Devices,
pubmed-meshheading:9822865-Humans,
pubmed-meshheading:9822865-Myocardial Infarction,
pubmed-meshheading:9822865-Puerperal Disorders,
pubmed-meshheading:9822865-Shock, Cardiogenic
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pubmed:year |
1998
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pubmed:articleTitle |
Postpartum coronary artery dissection: emergency coronary artery bypass with ventricular assist device support.
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pubmed:affiliation |
Allegheny University Hospitals, Hahnemann Division, Philadelphia, PA 19102-1192, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
|