Turk Kardiyol Dern Ars. 2007; 35(1): 40-42
Spontaneous coronary artery dissection due to oral contraceptive use
Mehmet Ateş, Ahmet Ümit Güllü, Mehmet Kızılay, Murat AkçarDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiac - Vascular Surgery, Istanbul
Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction. A 37-year-old woman who did not have any cardiovascular risk factor other than oral contraceptive use for 15 years developed acute myocardial infarction without ST-segment elevation. Coronary angiography revealed spontaneous coronary artery dissection involving a long segment (>5 cm) of the left anterior descending coronary artery from proximal to distal. Despite treatment, hemodynamic parameters worsened and left atrial pressure continued to increase. An intra-aortic balloon pump was placed and emergency coronary artery bypass grafting was performed. She was discharged on the seventh day of surgery without any complications.
Keywords: Aneurysm, dissecting/complications/surgery, contraceptives, oral/adverse effects, coronary angiography
Corresponding Author: Mehmet Ateş, Türkiye
Manuscript Language: Turkish