A Rare Presentation of Fibromuscular Dysplasia: Postpartum Vascular Catastrophe and Brief Literature Review

Fatima Khan; Ali Raza Ghani; Larami Mackenzie; Ashwin Matthew; Usman Sarwar; Bruce Klugherz

doi:10.1177/2324709617719917

A Rare Presentation of Fibromuscular Dysplasia: Postpartum Vascular Catastrophe and Brief Literature Review

J Investig Med High Impact Case Rep. 2017 Jul 31;5(3):2324709617719917. doi: 10.1177/2324709617719917. eCollection 2017 Jul-Sep.

Authors

Fatima Khan¹, Ali Raza Ghani¹, Larami Mackenzie², Ashwin Matthew³, Usman Sarwar¹, Bruce Klugherz⁴

Affiliations

¹ Department of Internal Medicine Abington Jefferson, PA, USA.
² Department of Neurovascular, Abington Jefferson Jefferson Health, PA, USA.
³ Drexel University Hospital, PA, USA.
⁴ Cardiology Abington Jefferson Jefferson Health, PA, USA.

Abstract

Spontaneous coronary artery dissection is a very rare cause of acute coronary syndromes and can be life threatening given the rarity of the condition. It should be part of differentials in young females presenting with acute coronary syndromes without routine risk factors for coronary artery disease, especially before, during, and after pregnancy. It is closely associated with fibromuscular dysplasia and management can be very challenging at times. We present a case of spontaneous coronary artery dissection presenting with recurrent ST segment elevation myocardial infarction in association with fibromuscular dysplasia.

Keywords: ST segment elevation myocardial infarction; acute coronary syndrome; electrocardiogram; fibromuscular dysplasia; internal carotid artery; left anterior descending; spontaneous coronary artery dissection.