Hasan Baki ALTINSOY, Hidayet KAYANÇİÇEK, Ümit DUMAN, Ömer Faruk DOĞAN

Doğum sonrası koroner arter diseksiyonu

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.

Postpartum spontaneous coronary artery dissection

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.

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