Doğum sonrası koroner arter diseksiyonu

Temel Bulgular & Veri:Çok doğum yapanlarda ve ikiz gebeliklerde artmış hormonal yük ve hemodinamik strese bağlı olarak spontan koroner arter diseksiyonu riskini artırdığı düşünülmektedir.

💡

Sonuç & Katkı:Postpartum dönemde spontan koroner arter diseksiyonlu dört olgu sunulmaktadır.

🔬Tür:Araştırma Makalesi

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Özet

Spontan koroner arter diseksiyonu, doğum sonrası dönemde miyokard infarktüsünün nadir bir nedenidir. Çok doğum yapanlarda ve ikiz gebeliklerde artmış hormonal yük ve hemodinamik strese bağlı olarak spontan koroner arter diseksiyonu riskini artırdığı düşünülmektedir. Günümüzde optimum tedaviye ilişkin bir konsensüs olmamasına rağmen, konservatif tedavi, koroner arter baypas greftleme ve perkütan koroner girişim kullanılmaktadır. Postpartum dönemde spontan koroner arter diseksiyonlu dört olgu sunulmaktadır.

Abstract

Spontaneous coronary artery dissection in the postpartum period is a rare cause of myocardial infarction. Multiparity and twin pregnancies are thought to increase the risk of spontaneous coronary artery dissection due to increased hormonal burden and hemodynamic stress. Although there is no consensus on the optimal treatment currently, conservative management, coronary artery bypass grafting, and percutaneous coronary intervention are used. We present four cases with spontaneous coronary artery dissection in the postpartum period.

🔖

Bu Makaleye Atıf Yap

ALTINSOY, H. B., KAYANÇİÇEK, H., DUMAN, Ü., DOĞAN, Ö. F. (2022). Doğum sonrası koroner arter diseksiyonu. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 25 - Sayı: 3, 455–458. https://ajindex.com/articles/423942

📄 Tam Metin PDF Okuyucu

Yeni Sekmede Aç ↗

↗Yeni Sekme

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (11)

Jorgensen MB, Aharonian V, Mansukhani P, Mahrer PR. Spontaneous coronary dissection: a cluster of cases with this rare finding. Am Heart J 1994
Sheikh AS, O’Sullivan M. Pregnancy-related spontaneous coronary artery dissection: two case reports and a comprehensive review of literature. Heart Views 2012
Karaahmet T, Tigen K, Gürel E, Cevik C, Mutlu B, Başaran Y. Spontaneous dissection of the left main coronary artery regressed with thrombolytic therapy: evaluation with multislice computed tomography angiography. Anadolu Kardiyol Derg 2009
Atay Y, Yağdi T, Türkoğlu C, Altintiğ A, Büket S. Spontaneous dissection of the left main coronary artery: a case report and review of the literature. J Card Surg 1996
Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE Jr, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non- ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. J Am Coll Cardiol 2007
Robinowitz M, Virmani R, McAllister HA JrU. Spontaneous coronary artery dissection and eosinophilic inflammation: a cause and effect relationship? Am J Med 1982
Arnold JR, West NE, van Gaal WJ, Karamitsos TD, Banning AP. The role of intravascular ultrasound in the management of spontaneous coronary artery dissection. Cardiovasc Ultrasound 2008
Appleby CE, Barolet A, Ing D, Ross J, Schwartz L, Seidelin P, et al. Contemporary management of pregnancy-related coronary artery dissection: A single- centre experience and literature review. Exp Clin Cardiol 2009
Vijayaraghavan R, Verma S, Gupta N, Saw J. Pregnancy-related spontaneous coronary artery dissection. Circulation 2014
Klutstein MW, Tzivoni D, Bitran D, Mendzelevski B, Ilan M, Almagor Y. Treatment of spontaneous coronary artery dissection: report of three cases. Cathet Cardiovasc Diagn 1997
Alvarez J, Deal CW. Spon