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Acute Dissection of Epicardial Coronary Arteries Shortly Following Full Term Delivery Resulting in Acute Myocardial Infarction and Leading to Orthotopic Heart Transplantation

  • William C. Roberts
    Correspondence
    Corresponding author: William C. Roberts, MD, 621 N. Hall Street, Suite H030, Dallas, Texas 75226, Office: (214) 820-7911
    Affiliations
    Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Baylor Scott & White Health

    Departments of Internal Medicine, Baylor University Medical Center, Baylor Scott & White Health

    Departments of Pathology, Baylor University Medical Center, Baylor Scott & White Health
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  • Charles S. Roberts
    Affiliations
    Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Baylor Scott & White Health

    Departments of Cardiac Surgery, Baylor University Medical Center, Baylor Scott & White Health, Dallas, Texas
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  • Dan M. Meyer
    Affiliations
    Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Baylor Scott & White Health

    Departments of Cardiac Surgery, Baylor University Medical Center, Baylor Scott & White Health, Dallas, Texas
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Published:October 11, 2022DOI:https://doi.org/10.1016/j.amjcard.2022.06.065
      Described herein is a 28-year-old woman who developed acute dissection of the left main, left anterior descending, and left circumflex coronary arteries shortly after delivering a full-term normal infant. The consequence was acute myocardial infarction leading to a severely depressed left ventricular ejection fraction (<10%) and resulting in life-saving orthotopic heart transplantation procedure not previously reported in patients with spontaneous isolated coronary dissection.
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