Author/Authors :
Knapp, Kathleen E. Department of Anesthesiology - Mayo Clinic, USA , Weis, Ricardo A. Department of Anesthesiology - Mayo Clinic, USA , Cubillo, Efrain I. Department of Anesthesiology - Mayo Clinic, USA , Chapital, Alyssa B. Department of Critical Care Medicine - Mayo Clinic, USA , Ramakrishna, Harish Department of Anesthesiology - Mayo Clinic, USA
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.
Keywords :
Coronary Artery Dissection , Cardiogenic , Extracorporeal , Oxygenation
