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Images in Clinical Medicine
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Volume 351:e18 November 11, 2004 Number 20
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Peripartum Dissection of the Right Coronary Artery

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A 35-year-old woman was evaluated for presyncope several days after giving birth. The results of physical examination were unremarkable, but her electrocardiogram showed transient ST depressions in leads II, III, aVF, and V4 through V6. An echocardiographic stress test performed with the use of dobutamine showed wall-motion abnormalities on provocation. A coronary angiogram showed normal coronary arteries, with haziness at the right coronary arterial ostium (Panel A, arrow). Subsequent evaluation by intravascular ultrasound imaging showed a nonocclusive ostial dissection (Panel B, arrow; and Video Clip 1) with a free-moving flap. A conservative therapeutic approach was chosen, and the . . . [Full Text of this Article]

 

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Peripartum Dissection of the Right Coronary Artery
Kaneda H., Ako J., Fitzgerald P. J., Frimerman A., Meisel S. R.
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N Engl J Med 2005; 352:1048-1049, Mar 10, 2005. Correspondence

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