BÁO CÁO CA LÂM SÀNG: BÓC TÁCH ĐỘNG MẠCH VÀNH NGUYÊN PHÁT Ở SẢN PHỤ

Abstract

Spontaneous coronary dissection is a rare cause of acute myocardial infarction, and currently, there is a lack of clinical guidelines for managing this condition. Patients with spontaneous coronary dissection typically present at young ages and may have associations with pregnancy, less likely to have risk factors for cardiovascular diseases such as hypertension, diabetes, or dyslipidemia. Conservative medical therapy is the preferred treatment for clinically stable patients with spontaneous coronary dissection who show no signs of progressive myocardial ischemia or hemodynamic instability. Percutaneous coronary intervention should be considered in subjects with unstable clinical manifestations. In this article, we present a clinical case of myocardial infarction caused by postpartum spontaneous coronary dissection, successfully treated with percutaneous coronary intervention. Our aim is to contribute valuable information on the use of percutaneous coronary intervention in the treatment of this condition.