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Correspondence
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Volume 352:1048-1049 March 10, 2005 Number 10
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Peripartum Dissection of the Right Coronary Artery

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by Frimerman, A.
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To the Editor: Spontaneous coronary dissection is a rare but serious complication in the peripartum and postpartum periods.1,2 However, we disagree with Frimerman and Meisel (Nov. 11 issue)3 about the diagnosis in the Images in Clinical Medicine article.3 First, the luminal structure that is described as dissection extends to the outside of the vessel. Second, the injection of contrast medium does not show a possible connection between the lumen and the luminal space in question. Third, the luminal space remains visible after stent deployment. Given the normally thin appearance of coronary arteries in young persons4 and the characteristic anatomical course . . . [Full Text of this Article]



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