PMID- 27127660 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160429 LR - 20201001 IS - 2090-6404 (Print) IS - 2090-6412 (Electronic) IS - 2090-6404 (Linking) VI - 2016 DP - 2016 TI - Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient. PG - 1048708 LID - 10.1155/2016/1048708 [doi] LID - 1048708 AB - 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. FAU - Knapp, Kathleen E AU - Knapp KE AUID- ORCID: 0000-0002-0190-8171 AD - Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. FAU - Weis, Ricardo A AU - Weis RA AD - Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. FAU - Cubillo, Efrain I AU - Cubillo EI AD - Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. FAU - Chapital, Alyssa B AU - Chapital AB AD - Department of Critical Care Medicine, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. FAU - Ramakrishna, Harish AU - Ramakrishna H AUID- ORCID: 0000-0001-8785-5092 AD - Department of Anesthesiology, Mayo Clinic, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA. LA - eng PT - Journal Article DEP - 20160324 PL - United States TA - Case Rep Cardiol JT - Case reports in cardiology JID - 101576452 PMC - PMC4823494 EDAT- 2016/04/30 06:00 MHDA- 2016/04/30 06:01 PMCR- 2016/03/24 CRDT- 2016/04/30 06:00 PHST- 2015/10/06 00:00 [received] PHST- 2016/03/13 00:00 [accepted] PHST- 2016/04/30 06:00 [entrez] PHST- 2016/04/30 06:00 [pubmed] PHST- 2016/04/30 06:01 [medline] PHST- 2016/03/24 00:00 [pmc-release] AID - 10.1155/2016/1048708 [doi] PST - ppublish SO - Case Rep Cardiol. 2016;2016:1048708. doi: 10.1155/2016/1048708. Epub 2016 Mar 24.