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Case Reports in Cardiology
Volume 2016, Article ID 1048708, 4 pages
http://dx.doi.org/10.1155/2016/1048708
Case Report

Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient

1Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA
2Department of Critical Care Medicine, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA

Received 6 October 2015; Accepted 13 March 2016

Academic Editor: Expedito E. Ribeiro

Copyright © 2016 Kathleen E. Knapp et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD.